Provider Demographics
NPI:1184758575
Name:ESPALIN, SUZANNE MARI (MD)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:MARI
Last Name:ESPALIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12100 APRIL ANN AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-3635
Mailing Address - Country:US
Mailing Address - Phone:661-327-3784
Mailing Address - Fax:661-327-0164
Practice Address - Street 1:4040 SAN DIMAS ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1298
Practice Address - Country:US
Practice Address - Phone:661-327-3787
Practice Address - Fax:661-327-0164
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG76171208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics