Healthcare Provider Details

I. General information

NPI: 1801485776
Provider Name (Legal Business Name): EMILIANO ALOHI ESPINOZA BA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2021
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 W THOUSAND OAKS BLVD
THOUSAND OAKS CA
91360-4402
US

IV. Provider business mailing address

4113 GALAPAGOS WAY
OXNARD CA
93035-1434
US

V. Phone/Fax

Practice location:
  • Phone: 805-777-3500
  • Fax:
Mailing address:
  • Phone: 805-450-5843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: