DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MELISSA BOLIVAR ESCOBAR

MEDICARE:   MELISSA  BOLIVAR 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
11041C0700XClinical Social Worker100244CA

General Provider Information

NPI Number : 1982154118
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA BOLIVAR ESCOBAR
Provider Business Mailing Address
First Line : 5767 W CENTURY BLVD STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-5631
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11845 W OLYMPIC BLVD STE 1050W
Second Line :
City : LOS ANGELES
State : CA
Zip : 90064-5046
Country : US
Telephone Number : 888-588-8995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2016
Last Update Date : 10/27/2023

Similar Medicare Providers

1396262754 — ALEJANDRA VIRAMONTES
Practice Location Address:
11845 W OLYMPIC BLVD STE 1050W
LOS ANGELES, CA
90064-5046
Practice Phone: 888-588-8995
Practice Fax:
1548563315 — YOKO ICHIMURA LCPC
Practice Location Address:
11845 W OLYMPIC BLVD STE 1050W
LOS ANGELES, CA
90064-5046
Practice Phone: 707-408-2519
Practice Fax:
1528652732 — CHRISTINE BAIRSTOW LMFT
Practice Location Address:
11845 W OLYMPIC BLVD STE 1050W
LOS ANGELES, CA
90064-5046
Practice Phone: 424-330-2217
Practice Fax:
1447902317 — MADELEINE SHORE
Practice Location Address:
11845 W OLYMPIC BLVD STE 1050W
LOS ANGELES, CA
90064-5046
Practice Phone: 424-330-2217
Practice Fax:
1235911702 — MOLLY GRUBER LMFT
Practice Location Address:
11845 W OLYMPIC BLVD STE 1050W
LOS ANGELES, CA
90064-5046
Practice Phone: 888-588-8995
Practice Fax:
1356204002 — NEUROMIND PC
Practice Location Address:
11150 W OLYMPIC BLVD STE 775
LOS ANGELES, CA
90064-1850
Practice Phone: 424-369-9000
Practice Fax: 424-369-0990

Directions to “ MELISSA BOLIVAR ESCOBAR ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.