Individual
MR. JORGE ANTONIO ESPINOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
8540 S SEPULVEDA BLVD, SUITE 1100, LOS ANGELES, CA 90045-3807
(310) 568-8938
(310) 665-9004
Mailing address
8540 S SEPULVEDA BLVD, SUITE 1100, LOS ANGELES, CA 90045-3807
(310) 568-8938
(310) 665-9004
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19511
CA
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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