Individual
ESPERANZA OSPINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2100 MONUMENT BLVD, STE 8, PLEASANT HILL, CA 94523
(925) 363-2000
(925) 363-2006
Mailing address
1601 FRUITVALE AVE, OAKLAND, CA 94601-2322
(510) 535-4000
(510) 535-4128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18516
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-1062
FQHC MEDICARE PART A
CA
05
—
FHC71034F
—
CA
01
—
HAP 71034F
FPACT
CA
01
—
ZZZ29799Z
FQHC MEDICARE PART B
CA
Enumeration date
04/10/2007
Last updated
07/12/2010
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