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NPI Code Detail

MEDICARE: JOSE DAVID ESCOBAR PT, DPT

MEDICARE:   JOSE DAVID ESCOBAR  PT, DPT
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
12251G0304XGeriatric Physical Therapist42298CA

General Provider Information

NPI Number : 1861874943
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE DAVID ESCOBAR PT, DPT
Provider Business Mailing Address
First Line : 2084 STARFALL LN
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-2369
Country : US
Telephone Number : 480-313-7152
Fax Number :
Provider Business Practice Location Address
First Line : 2084 STARFALL LN
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-2369
Country : US
Telephone Number : 480-313-7152
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2015
Last Update Date : 06/24/2015

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Directions to “ JOSE DAVID ESCOBAR PT, DPT” Practice Location

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