Individual
JR ESTRELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 S HARBOR BLVD, FULLERTON, CA 92832-3022
(714) 686-6031
(714) 526-0411
Mailing address
801 S HARBOR BLVD, FULLERTON, CA 92832-3022
(714) 686-6031
(714) 526-0411
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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