Provider Demographics
NPI:1720822711
Name:ESQUIVEL PATINO, JANET YVETTE
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:YVETTE
Last Name:ESQUIVEL PATINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 N FLOWER ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92703-2312
Mailing Address - Country:US
Mailing Address - Phone:714-697-0304
Mailing Address - Fax:
Practice Address - Street 1:10272 YORKTOWN DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92124-3629
Practice Address - Country:US
Practice Address - Phone:714-574-2843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula