Individual
FREDERICK ESPEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1030 W WARNER AVE, SANTA ANA, CA 92707-3147
(714) 957-0611
Mailing address
811 W FLORENCE AVE, LA HABRA, CA 90631-4509
(213) 210-9957
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40804
CA
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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