Espinoza, Kelly
Espinoza, Kelly is an sole proprietor health care provider with primary practice located at 2450 S Atlantic Blvd , Commerce CA 90040-1200. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Espinoza, Kelly can be contacted via phone (323) 887-1917.Contact Information
Primary practice address
2450 S Atlantic Blvd
Commerce CA 90040-1200
Phone: (323) 887-1917
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
NPI number | 1447418140 |
---|---|
LBN Legal business name | Espinoza, Kelly |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 29th, 2008 |
Last updated | Dec 11th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447418140 | NPPES |
California | Other | 95-2633765 | MEDI-CAL |
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