Provider Information for 1891200481
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NATALIE MARIA ESCOBAR
Sex: Female
NPI: 1891200481
Last Updated: 2024-09-09
Certification Date: 2024-09-09
Certification Date: 2024-09-09
Details
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NPI | 1891200481 | ||||||||
Enumeration Date | 2017-12-05 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 1060 S BROOKHURST RD FULLERTON, CA 92833-3709 United States Phone: 714-449-1339 | Fax:714-449-1289 | ||||||||
Primary Practice Address | 4132 KATELLA AVE STE 104 LOS ALAMITOS, CA 90720-3493 United States Phone: 714-519-6760 | Fax: | ||||||||
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