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General NPI Number Information
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NPI Number | 1881561504
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Entity Type | Individual
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Provider Name | VONNYKA ESPINOSA
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Gender | Female
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 450 N BEDFORD DR STE 200
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4306
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Country | US
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Telephone | 310-550-5566
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Fax | 310-861-1164
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Provider Business Mailing Address
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Address Line | 2644 GOLDEN AVE STE 200
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City | LONG BEACH
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State | CA
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Zip | 90806-2536
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Country | US
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Telephone | 310-550-5566
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Fax | 310-861-1164
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | L10042
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License Number State | CA
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