MEDICARE: FRANCISCO ANTONIO 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
1	101Y00000X	Counselor	ASW67838	CA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1346652518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCISCO ANTONIO ESCOBAR

Provider Business Mailing Address
First Line	:	239 VIENNA ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94112-2127
Country	:	US
Telephone Number	:	415-902-9352
Fax Number	:

Provider Business Practice Location Address
First Line	:	239 VIENNA ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94112-2127
Country	:	US
Telephone Number	:	415-902-9352
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2014
Last Update Date	:	08/27/2015

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Directions to “ FRANCISCO ANTONIO ESCOBAR ” Practice Location

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