Provider Demographics
NPI:1598258022
Name:ALDAPE ESQUIVEL, PEDRO (DPM)
Entity Type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:
Last Name:ALDAPE ESQUIVEL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:DR
Other - First Name:PEDRO
Other - Middle Name:
Other - Last Name:ALDAPE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:7373 WEST LN STE 255
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95210-3377
Mailing Address - Country:US
Mailing Address - Phone:209-735-4900
Mailing Address - Fax:
Practice Address - Street 1:7373 WEST LN STE 255
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95210-3377
Practice Address - Country:US
Practice Address - Phone:209-735-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-09
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE5827213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery