Organization
ESSI CA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY LAWRENCE (BUSINESS ADMINISTRATOR)
(631) 456-2514
Entity
Organization
Contact information
Practice address
4772 KATELLA AVE STE 200, LOS ALAMITOS, CA 90720-2683
(516) 584-8710
(516) 584-8711
Mailing address
1110 N VIRGIL AVE, PMB 93712, LOS ANGELES, CA 90029
(516) 584-8710
(516) 584-8711
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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