Provider Demographics
NPI:1972208809
Name:HOBBS, ESTA
Entity Type:Individual
Prefix:
First Name:ESTA
Middle Name:
Last Name:HOBBS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40009 TEMPLE CT
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-4367
Mailing Address - Country:US
Mailing Address - Phone:951-640-2606
Mailing Address - Fax:951-691-8999
Practice Address - Street 1:40009 TEMPLE CT
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-4367
Practice Address - Country:US
Practice Address - Phone:951-640-2606
Practice Address - Fax:951-691-8999
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA336413282310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility