Healthcare Provider Details

I. General information

NPI: 1922763937
Provider Name (Legal Business Name): KARINA ESCOBEDO PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2021
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8536 WILSHIRE BLVD STE 202
BEVERLY HILLS CA
90211-3154
US

IV. Provider business mailing address

4140 W 190TH ST
TORRANCE CA
90504-5513
US

V. Phone/Fax

Practice location:
  • Phone: 310-248-8200
  • Fax: 310-248-8290
Mailing address:
  • Phone: 310-248-8200
  • Fax: 310-248-8290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberPA60345
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA60345
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: