Healthcare Provider Details

I. General information

NPI: 1184160798
Provider Name (Legal Business Name): DAVID ESCARO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2017
Last Update Date: 01/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 HOWARD ST
SAN FRANCISCO CA
94103-2820
US

IV. Provider business mailing address

1060 HOWARD ST
SAN FRANCISCO CA
94103-2820
US

V. Phone/Fax

Practice location:
  • Phone: 415-252-4788
  • Fax: 415-655-7254
Mailing address:
  • Phone: 415-252-4788
  • Fax: 415-655-7254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: