Healthcare Provider Details

I. General information

NPI: 1447444138
Provider Name (Legal Business Name): EUNICE ESCOBEDO PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2007
Last Update Date: 02/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ENKI YOUTH & FAMILY SERVICES 3208 ROSEMEAD BLVD., SUITE 100
EL MONTE CA
91731
US

IV. Provider business mailing address

ENKI YOUTH & FAMILY SERVICES 3208 ROSEMEAD BLVD., SUITE 100
EL MONTE CA
91731
US

V. Phone/Fax

Practice location:
  • Phone: 626-227-7001
  • Fax:
Mailing address:
  • Phone: 626-227-7001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: