Individual
EDGAR IVAN ESPARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9500 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5807
(951) 682-8272
Mailing address
11801 PIERCE ST, RIVERSIDE, CA 92505-4408
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
01/08/2024
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