Provider Demographics
NPI:1437262474
Name:ESPOSO, ORIENTE M (MD)
Entity Type:Individual
Prefix:DR
First Name:ORIENTE
Middle Name:M
Last Name:ESPOSO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ORIENTE
Other - Middle Name:M
Other - Last Name:ESPOSO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4208 ROSEDALE HWY
Mailing Address - Street 2:SUITE 302-337
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-6170
Mailing Address - Country:US
Mailing Address - Phone:661-843-7841
Mailing Address - Fax:661-864-7943
Practice Address - Street 1:901 OLIVE DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-6170
Practice Address - Country:US
Practice Address - Phone:661-843-7841
Practice Address - Fax:661-864-7943
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA42316174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1437262474Medicaid
CAA42316OtherSTATE LICENSE NUMBER
CAA42316OtherSTATE LICENSE NUMBER
CAA29554Medicare UPIN