Provider Demographics
NPI:1053728089
Name:REGINA G ESPINOZA DDS INC
Entity type:Organization
Organization Name:REGINA G ESPINOZA DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:G
Authorized Official - Last Name:ESPINOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-717-9066
Mailing Address - Street 1:20173 SATICOY ST
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:CA
Mailing Address - Zip Code:91306-2506
Mailing Address - Country:US
Mailing Address - Phone:818-717-9066
Mailing Address - Fax:818-717-8551
Practice Address - Street 1:20173 SATICOY ST
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:CA
Practice Address - Zip Code:91306-2506
Practice Address - Country:US
Practice Address - Phone:818-717-9066
Practice Address - Fax:818-717-8551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA588211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty