Provider Demographics
NPI:1558910828
Name:ESKILSON, EMMA (DC)
Entity Type:Individual
Prefix:DR
First Name:EMMA
Middle Name:
Last Name:ESKILSON
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 1:239 XIMENO AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-1662
Mailing Address - Country:US
Mailing Address - Phone:785-218-4206
Mailing Address - Fax:562-684-4400
Practice Address - Street 1:3720 E ANAHEIM ST STE 180
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-4085
Practice Address - Country:US
Practice Address - Phone:562-986-2865
Practice Address - Fax:562-684-4400
Is Sole Proprietor?:No
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34631111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor