Provider Demographics
NPI:1275842841
Name:ESPINOZA-TOVAR, HELEN MARY
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:MARY
Last Name:ESPINOZA-TOVAR
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:HELEN
Other - Middle Name:MARY
Other - Last Name:TOVAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:5142 WARNER AVE
Mailing Address - Street 2:#202
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-4056
Mailing Address - Country:US
Mailing Address - Phone:949-293-8655
Mailing Address - Fax:
Practice Address - Street 1:261 E WILLOW ST
Practice Address - Street 2:#C
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2637
Practice Address - Country:US
Practice Address - Phone:562-290-0212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA320984163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA33-0150193OtherMEDI-CAL