Individual
LEO R. ESPINOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
11080 W OLYMPIC BLVD, LOS ANGELES, CA 90064-1937
(310) 966-6610
Mailing address
812 W HUNTINGTON DR APT 6, ARCADIA, CA 91007-6619
(310) 966-6610
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT31641
CA
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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