Healthcare Provider Details

I. General information

NPI: 1568871697
Provider Name (Legal Business Name): SARA ESCALANTE ARROYO MFTI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2014
Last Update Date: 08/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7003 N FIGUEROA ST POST OFFICE BOX 41-1076
LOS ANGELES CA
90042-1247
US

IV. Provider business mailing address

7003 N FIGUEROA ST POST OFFICE BOX 41-1076
LOS ANGELES CA
90042-1247
US

V. Phone/Fax

Practice location:
  • Phone: 323-543-4229
  • Fax: 323-344-7382
Mailing address:
  • Phone: 323-543-4229
  • Fax: 323-344-7382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number77442
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: