Provider Demographics
NPI:1396354288
Name:ESPINOZA-HERNANDEZ, EFREN (AMFT)
Entity type:Individual
Prefix:
First Name:EFREN
Middle Name:
Last Name:ESPINOZA-HERNANDEZ
Suffix:
Gender:M
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 32531
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90032-0531
Mailing Address - Country:US
Mailing Address - Phone:951-464-2992
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 32531
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90032-0531
Practice Address - Country:US
Practice Address - Phone:951-464-2992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-27
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA142576106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist