Provider Demographics
NPI:1245327808
Name:ESPELETA, VIDAL JULIO (MD)
Entity type:Individual
Prefix:DR
First Name:VIDAL
Middle Name:JULIO
Last Name:ESPELETA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 3420
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92690-1420
Mailing Address - Country:US
Mailing Address - Phone:949-521-7163
Mailing Address - Fax:949-588-7572
Practice Address - Street 1:24411 HEALTH CENTER DR STE 560
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3687
Practice Address - Country:US
Practice Address - Phone:949-521-7163
Practice Address - Fax:949-588-7572
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA83599207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease