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NPI Code Detail

MEDICARE: MIRIAM ELIZABETH ESCOBAR

MEDICARE:   MIRIAM ELIZABETH ESCOBAR
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
1183700000XPharmacy TechnicianTCH70088CA

General Provider Information

NPI Number : 1255021911
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRIAM ELIZABETH ESCOBAR
Provider Business Mailing Address
First Line : 4851 EAGLE ROCK BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90041-2631
Country : US
Telephone Number : 323-535-8132
Fax Number :
Provider Business Practice Location Address
First Line : 1744 W 6TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-1004
Country : US
Telephone Number : 213-413-2458
Fax Number : 213-413-9621
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2023
Last Update Date : 05/08/2023

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Directions to “ MIRIAM ELIZABETH ESCOBAR ” Practice Location

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