Healthcare Provider Details

I. General information

NPI: 1831413244
Provider Name (Legal Business Name): IRAN XOCHITL ESCORCIA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2010
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9930 VAN RUITEN ST
BELLFLOWER CA
90706-2439
US

IV. Provider business mailing address

9930 VAN RUITEN ST
BELLFLOWER CA
90706-2439
US

V. Phone/Fax

Practice location:
  • Phone: 562-461-7067
  • Fax:
Mailing address:
  • Phone: 562-461-7067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number18815
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number529860
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: