| Doctor Name: | FREDDY ESPINOZA |
| NPI Number: | 1124440524 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | 95000246 |
| Business Practice Address: | 4492 Camino De La Plz # 466 San Ysidro, CA - 921733071 |
| Business Phone Number: | 6195460855 |
| Business Fax Number: | |
| Mailing Address: | 823 Gateway Center Way, SAN DIEGO |
| State: | CA |
| Postal Code: | 921024541 |
| Phone Number: | 6199064623 |
| Fax Number: | 6199064564 |
| NPI Enumeration Date: | 01/20/2014 |
| NPI Last Update Date: | 01/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 95000246 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |