Provider Demographics
NPI:1285795088
Name:ESPE, BRENDA (DO)
Entity type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:
Last Name:ESPE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:440 REDONDO AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90814-1569
Mailing Address - Country:US
Mailing Address - Phone:562-433-4474
Mailing Address - Fax:562-433-4474
Practice Address - Street 1:440 REDONDO AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90814-1569
Practice Address - Country:US
Practice Address - Phone:562-433-4474
Practice Address - Fax:562-433-4474
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A6492204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM