Provider Demographics
NPI:1275359515
Name:ESPINOZA, ANNA MARIA (MA)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:ESPINOZA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:MARIA
Other - Last Name:CASTILLO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:30951 HANOVER LN APT 1304
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92584-6631
Mailing Address - Country:US
Mailing Address - Phone:951-723-0403
Mailing Address - Fax:
Practice Address - Street 1:11155 MOUNTAIN VIEW AVE STE 220
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-3873
Practice Address - Country:US
Practice Address - Phone:671-690-9558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health