Individual
MARIA SUSANA ESPINO GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E BEVERLY BLVD STE 201, MONTEBELLO, CA 90640-4315
(323) 722-5163
Mailing address
44014 KIRKLAND AVE, LANCASTER, CA 93535-3631
(626) 497-2773
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
FAC00083950
CA
Other
Enumeration date
09/06/2017
Last updated
08/29/2022
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