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NPI Code Detail

MEDICARE: LUIS A ESCAMILLA

MEDICARE: LUIS A ESCAMILLA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation SpecialistCA

General Provider Information

NPI Number : 1073461042
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS A ESCAMILLA
Provider Business Mailing Address
First Line : 8241 LAURELGROVE AVE
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91605-1320
Country : US
Telephone Number : 818-942-4185
Fax Number :
Provider Business Practice Location Address
First Line : 655 MAPLE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90014-2211
Country : US
Telephone Number : 818-942-4185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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Directions to “ LUIS A ESCAMILLA ” Practice Location

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