MEDICARE: DR. JUAN ALBERTO ESCOBAR M.D.

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	207R00000X	Internal Medicine Physician	G58271	CA

General Provider Information

NPI Number	:	1932324696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUAN ALBERTO ESCOBAR M.D.

Provider Business Mailing Address
First Line	:	6991 LIVINGSTON DR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-1555
Country	:	US
Telephone Number	:	714-848-9348
Fax Number	:	562-494-0866

Provider Business Practice Location Address
First Line	:	1711 W TEMPLE ST STE 3695
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-7336
Country	:	US
Telephone Number	:	213-989-0700
Fax Number	:	213-989-0703

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

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	07/16/2024

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