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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

Details

NameValue
NPI1891200481
Enumeration Date2017-12-05
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
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:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist CALMFT143385