Healthcare Provider Details

I. General information

NPI: 1851702435
Provider Name (Legal Business Name): EDWIN ESCUETA MSN, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2014
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8399 GARVEY AVE
ROSEMEAD CA
91770-2650
US

IV. Provider business mailing address

8399 GARVEY AVE
ROSEMEAD CA
91770-2650
US

V. Phone/Fax

Practice location:
  • Phone: 626-773-8436
  • Fax:
Mailing address:
  • Phone: 626-773-8436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95000333
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: