Provider Demographics
NPI:1144315565
Name:ESPINOZA-LOPEZ, ANGELINA (MD)
Entity type:Individual
Prefix:
First Name:ANGELINA
Middle Name:
Last Name:ESPINOZA-LOPEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9157 APPLEBY ST
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-2914
Mailing Address - Country:US
Mailing Address - Phone:818-795-0712
Mailing Address - Fax:
Practice Address - Street 1:818 W. ALONDR A BLVD
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90220
Practice Address - Country:US
Practice Address - Phone:310-537-1337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA859840207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFNP35203OtherMED. BOARD FICTITIIOUS NA
CA00A859840Medicaid
CAFNP35203OtherMED. BOARD FICTITIIOUS NA