| Raymond J. Esparza Md Inc. | |
|
1330 W Covina Blvd Ste 203 San Dimas CA 91773-3200 | |
| (909) 394-0044 | |
| (909) 394-6133 |
| Full Name | Raymond J. Esparza Md Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1330 W Covina Blvd, San Dimas, California |
| Authorized Official Name and Position | Raymond J Esparza (CEO) |
| Authorized Official Contact | 9093940044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond J. Esparza Md Inc. 1330 W Covina Blvd Ste 203 San Dimas CA 91773-3200 Ph: (909) 394-0044 | Raymond J. Esparza Md Inc. 1330 W Covina Blvd Ste 203 San Dimas CA 91773-3200 Ph: (909) 394-0044 |
| NPI Number | 1578648523 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 09/10/2007 |
| Medicare PECOS PAC ID | 4284726209 |
|---|---|
| Medicare Enrollment ID | O20070822001176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578648523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G77594 (California) | Primary |
| Provider Name | Raymond J Esparza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497717391 PECOS PAC ID: 1254357940 Enrollment ID: I20051021000463 |
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