Healthcare Provider Details

I. General information

NPI: 1255636130
Provider Name (Legal Business Name): CLAUDIA ELIZBETH ESCORCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2011
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19843 NORDHOFF ST # 102
NORTHRIDGE CA
91324-3331
US

IV. Provider business mailing address

19843 NORDHOFF ST # 102
NORTHRIDGE CA
91324-3331
US

V. Phone/Fax

Practice location:
  • Phone: 909-677-6259
  • Fax: 951-708-3344
Mailing address:
  • Phone: 909-677-6259
  • Fax: 951-708-3344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number63528
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number93633
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: