MEDICARE: LOIDA MERELY ESCOBAR AMFT, APCC

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	101YM0800X	Mental Health Counselor	APCC19097	CA
2	106H00000X	Marriage & Family Therapist	AMFT154125	CA

General Provider Information

NPI Number	:	1962293605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOIDA MERELY ESCOBAR AMFT, APCC

Provider Business Mailing Address
First Line	:	716 IMOGEN AVE APT 1
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-3501
Country	:	US
Telephone Number	:	323-301-3954
Fax Number	:

Provider Business Practice Location Address
First Line	:	3685 MOTOR AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-5750
Country	:	US
Telephone Number	:	323-301-3954
Fax Number	:

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

Provider Enumeration Date	:	05/13/2025
Last Update Date	:	05/13/2025

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