Provider Demographics
NPI:1487348611
Name:ESQUIVEL, ELBA
Entity type:Individual
Prefix:
First Name:ELBA
Middle Name:
Last Name:ESQUIVEL
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 1:15766 LA FORGE ST
Mailing Address - Street 2:P.O. BOX 137
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-2334
Mailing Address - Country:US
Mailing Address - Phone:562-232-9981
Mailing Address - Fax:
Practice Address - Street 1:15716 JANINE DR
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-1519
Practice Address - Country:US
Practice Address - Phone:562-232-9981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12453106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist