Healthcare Provider Details

I. General information

NPI: 1255152393
Provider Name (Legal Business Name): APRIL MARIE ESCAMILLA LCS 26131
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2024
Last Update Date: 10/22/2024
Certification Date: 10/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14634 POULTER DR
WHITTIER CA
90604-2806
US

IV. Provider business mailing address

14634 POULTER DR
WHITTIER CA
90604-2806
US

V. Phone/Fax

Practice location:
  • Phone: 323-997-9824
  • Fax:
Mailing address:
  • Phone: 323-997-9824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS26131
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: