| Clinica Medica Dr Juan Escobar Inc | |
|
1711 W Temple St Suite # 3695 Los Angeles CA 90026-5421 | |
| (213) 989-0700 | |
| (213) 989-0703 |
| Full Name | Clinica Medica Dr Juan Escobar Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1711 W Temple St, Los Angeles, California |
| Authorized Official Name and Position | Juan A Escobar (PRESIDENT) |
| Authorized Official Contact | 2139890700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Medica Dr Juan Escobar Inc 1711 W Temple St Suite # 3695 Los Angeles CA 90026-5421 Ph: (213) 989-0700 | Clinica Medica Dr Juan Escobar Inc 1711 W Temple St Suite # 3695 Los Angeles CA 90026-5421 Ph: (213) 989-0700 |
| NPI Number | 1942444286 |
|---|---|
| Provider Enumeration Date | 04/30/2009 |
| Last Update Date | 04/30/2009 |
| Medicare PECOS PAC ID | 8527119189 |
|---|---|
| Medicare Enrollment ID | O20090623000161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942444286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G58271 (California) | Primary |
| Provider Name | Juan A Escobar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932324696 PECOS PAC ID: 9739092644 Enrollment ID: I20031106000832 |
| Provider Name | Alberto V Natividad |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1851464838 PECOS PAC ID: 2466443213 Enrollment ID: I20040520000475 |
| Provider Name | Reynaldo C Zapata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740356658 PECOS PAC ID: 2062586944 Enrollment ID: I20080811000741 |
| Provider Name | Jean Te Diesto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770009045 PECOS PAC ID: 7517377419 Enrollment ID: I20231031000203 |
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