Healthcare Provider Details

I. General information

NPI: 1013419209
Provider Name (Legal Business Name): ADRIANA ESCOBAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2018
Last Update Date: 05/28/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1932 E DEERE AVE STE 240
SANTA ANA CA
92705-5716
US

IV. Provider business mailing address

1932 E DEERE AVE STE 240
SANTA ANA CA
92705-5716
US

V. Phone/Fax

Practice location:
  • Phone: 714-809-7862
  • Fax:
Mailing address:
  • Phone: 714-809-7862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: