Healthcare Provider Details

I. General information

NPI: 1437247400
Provider Name (Legal Business Name): ARTHUR JOHN ESCAMILLO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 04/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1433 W MERCED AVE SUITE 103
WEST COVINA CA
91790-3402
US

IV. Provider business mailing address

1433 W MERCED AVE STE 103
WEST COVINA CA
91790-3402
US

V. Phone/Fax

Practice location:
  • Phone: 626-337-8000
  • Fax: 626-337-1145
Mailing address:
  • Phone: 626-337-8000
  • Fax: 626-337-1145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberC55409
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: