Provider Demographics
NPI:1508020819
Name:ESPINOSA, MARCELA SORIANO (MD)
Entity Type:Individual
Prefix:
First Name:MARCELA
Middle Name:SORIANO
Last Name:ESPINOSA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARCELA
Other - Middle Name:CORPUZ
Other - Last Name:SORIANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:17071 SPRINGDALE ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-4669
Mailing Address - Country:US
Mailing Address - Phone:714-377-9333
Mailing Address - Fax:714-377-3964
Practice Address - Street 1:17071 SPRINGDALE ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-4669
Practice Address - Country:US
Practice Address - Phone:714-377-9333
Practice Address - Fax:714-377-3964
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2014-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA104674207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine