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NPI Code Detail

MEDICARE: JOSE M ESTEBAN M.D.

MEDICARE: JOSE M ESTEBAN M.D.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianA43207CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952395402
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE M ESTEBAN M.D.
Provider Business Mailing Address
First Line : 2219 WEST OLIVE AVE #219
Second Line :
City : BURBANK
State : CA
Zip : 91506-2625
Country : US
Telephone Number : 818-847-6052
Fax Number : 818-847-6029
Provider Business Practice Location Address
First Line : 501 S BUENA VISTA ST
Second Line : DEPT OF PATHOLOGY
City : BURBANK
State : CA
Zip : 91505-4809
Country : US
Telephone Number : 818-847-6052
Fax Number : 818-847-6029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 07/14/2017

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