Provider Demographics
NPI:1457862484
Name:MARIA SUSANA ESPINO GONZALES
Entity Type:Organization
Organization Name:MARIA SUSANA ESPINO GONZALES
Other - Org Name:FOCAL POINT DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA SUSANA
Authorized Official - Middle Name:ESPINO
Authorized Official - Last Name:GONZALES
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS
Authorized Official - Phone:626-497-2773
Mailing Address - Street 1:523 E LIVE OAK AVE APT A
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-5644
Mailing Address - Country:US
Mailing Address - Phone:626-497-2773
Mailing Address - Fax:
Practice Address - Street 1:9759 TELFAIR AVE
Practice Address - Street 2:
Practice Address - City:PACOIMA
Practice Address - State:CA
Practice Address - Zip Code:91331-3438
Practice Address - Country:US
Practice Address - Phone:626-497-2773
Practice Address - Fax:818-698-8883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-17
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
No293D00000XLaboratoriesPhysiological Laboratory