Individual provider · NPI-1

Brenda Gastelum Espinoza

Clinic/Center, Mental Health (Including Community Mental Health Center) · Indio, CA

NPI number1801673454
StatusActive
Last updated in NPPESSep 8, 2023

Details

NPI
1801673454
Entity type
Individual (NPI-1)
Name
Brenda Gastelum Espinoza
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 8, 2023
Certification date
Sep 8, 2023
Last updated
Sep 8, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

47915 Oasis St
Indio, CA 92201-6950

Phone 760-863-8600

Mailing address

47915 Oasis St
Indio, CA 92201-6950

Phone 760-863-8600

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