Healthcare Provider Details

I. General information

NPI: 1295452597
Provider Name (Legal Business Name): VICTOR ESPINOZA SAAVEDRA FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2022
Last Update Date: 10/26/2022
Certification Date: 10/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 N CHERRY ST
TULARE CA
93274-2231
US

IV. Provider business mailing address

3716 E CYPRESS AVE
VISALIA CA
93292-3678
US

V. Phone/Fax

Practice location:
  • Phone: 559-686-9097
  • Fax:
Mailing address:
  • Phone: 559-310-5813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number95023123
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: