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NPI Code Detail

MEDICARE: ERIKA ISABEL ESPARZA MFT-I, RRW

MEDICARE: ERIKA ISABEL ESPARZA MFT-I, RRW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorRW4190CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RW4190OTHERCARRW

General Provider Information

NPI Number : 1184910671
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA ISABEL ESPARZA MFT-I, RRW
Provider Business Mailing Address
First Line : 955 E 3RD ST UNIT 316
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-6711
Country : US
Telephone Number : 949-836-7249
Fax Number :
Provider Business Practice Location Address
First Line : 2607 WILLO LN
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-4645
Country : US
Telephone Number : 949-313-1192
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2011
Last Update Date : 06/22/2011

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