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General NPI Number Information
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NPI Number | 1346783370
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Entity Type | Organization
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Legal Business Name | E-PSYCH SERVICES PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 11/22/2016
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 3751 MOTOR AVE UNIT 34823
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City | LOS ANGELES
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State | CA
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Zip | 90034-8038
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Country | US
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Telephone | 323-508-7907
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Fax |
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Provider Business Mailing Address
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Address Line | 3751 MOTOR AVE UNIT 34823
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City | LOS ANGELES
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State | CA
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Zip | 90034-8038
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Country | US
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Telephone | 323-508-7907
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD ANDREW ESPINOZA
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Credential | PSYD
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Telephone | 323-508-7907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY28726
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License Number State | CA
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