Individual
MICHAEL ESPINO CORPUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12602 VOLKWOOD ST, GARDEN GROVE, CA 92840-5932
(714) 733-8021
Mailing address
12602 VOLKWOOD ST, GARDEN GROVE, CA 92840-5932
(714) 733-8021
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT33803
CA
374700000X
Technician
PT33803
CA
Other
Enumeration date
10/30/2014
Last updated
10/19/2023
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