Provider Demographics
NPI:1083227045
Name:CROCKETT-ESPINOZA, TOSHINA (DC)
Entity Type:Individual
Prefix:
First Name:TOSHINA
Middle Name:
Last Name:CROCKETT-ESPINOZA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7713 GERDA CT
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90606-2130
Mailing Address - Country:US
Mailing Address - Phone:562-641-1449
Mailing Address - Fax:
Practice Address - Street 1:7713 GERDA CT
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90606-2130
Practice Address - Country:US
Practice Address - Phone:562-641-1449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34899111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor