Dr. Rolando Espinoza, Inc. | |
271 E Workman St Suite 102 Covina CA 91723-3500 | |
(626) 966-0318 | |
(626) 966-0318 |
Full Name | Dr. Rolando Espinoza, Inc. |
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Speciality | Psychologist |
Location | 271 E Workman St, Covina, California |
Authorized Official Name and Position | Rolando Espinoza (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 6269660318 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dr. Rolando Espinoza, Inc. 271 E Workman St Suite 102 Covina CA 91723-3500 Ph: (626) 966-0318 | Dr. Rolando Espinoza, Inc. 271 E Workman St Suite 102 Covina CA 91723-3500 Ph: (626) 966-0318 |
NPI Number | 1235458134 |
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Provider Enumeration Date | 05/18/2010 |
Last Update Date | 05/18/2010 |
Medicare PECOS PAC ID | 6608905914 |
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Medicare Enrollment ID | O20100525000905 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235458134 | NPI | - | NPPES |
PSY062390 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY6239 (California) | Primary |
Provider Name | Rolando C Espinoza |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1548256217 PECOS PAC ID: 5698803385 Enrollment ID: I20100518000265 |
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