Healthcare Provider Details

I. General information

NPI: 1609539071
Provider Name (Legal Business Name): ARIANNA ESCOBAR MARIN LM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2021
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 W COUNTRY CLUB LN STE H
ESCONDIDO CA
92026-1226
US

IV. Provider business mailing address

555 W COUNTRY CLUB LN STE H
ESCONDIDO CA
92026-1226
US

V. Phone/Fax

Practice location:
  • Phone: 323-373-6025
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number676
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: