Healthcare Provider Details

I. General information

NPI: 1831028612
Provider Name (Legal Business Name): ADRIANA LILIBETH ESCAMILLA SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4309 3RD AVE
SAN DIEGO CA
92103-1407
US

IV. Provider business mailing address

2265 PALM AVE APT 35
SAN DIEGO CA
92154-4748
US

V. Phone/Fax

Practice location:
  • Phone: 619-876-4502
  • Fax:
Mailing address:
  • Phone: 619-386-9312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberMPSS-RFOVHQ
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: