Healthcare Provider Details

I. General information

NPI: 1427444744
Provider Name (Legal Business Name): RANDI ESCHMANN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2015
Last Update Date: 04/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4126 W 176TH ST
TORRANCE CA
90504-3124
US

IV. Provider business mailing address

4126 W 176TH ST
TORRANCE CA
90504-3124
US

V. Phone/Fax

Practice location:
  • Phone: 310-625-1819
  • Fax:
Mailing address:
  • Phone: 310-625-1819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberIMF81328
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: