Healthcare Provider Details

I. General information

NPI: 1831808062
Provider Name (Legal Business Name): ESPIR MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2022
Last Update Date: 11/16/2022
Certification Date: 11/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14555 HAMLIN ST STE 2
VAN NUYS CA
91411-1612
US

IV. Provider business mailing address

14555 HAMLIN ST STE 2
VAN NUYS CA
91411-1612
US

V. Phone/Fax

Practice location:
  • Phone: 323-606-9032
  • Fax: 323-606-9036
Mailing address:
  • Phone: 323-606-9032
  • Fax: 323-606-9036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: ALBEMAR ESPIRITU
Title or Position: PRESIDENT
Credential: DPM
Phone: 323-606-9032