Edgard Jayson Escobar, PT
Physical Therapist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1194351585
StatusActive
Last updated in NPPESMar 17, 2020
Details
- NPI
- 1194351585
- Entity type
- Individual (NPI-1)
- Name
- Edgard Jayson Escobar
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 17, 2020
- Certification date
- Mar 17, 2020
- Last updated
- Mar 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 293233 | CA | Yes |
Practice location
2221 Lincoln Park AveLos Angeles, CA 90031-2920
Phone 323-276-5700
Mailing address
17022 Wing LnLa Puente, CA 91744-4247
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