Organization
ESPERANZA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN ALBERTO ESCOBAR MD (PRESIDENT)
(213) 989-0700
Entity
Organization
Contact information
Practice address
1711 W TEMPLE ST, SUITE # 3600, LOS ANGELES, CA 90026-5421
(213) 989-0700
(213) 989-0703
Mailing address
1711 W TEMPLE ST, SUITE # 3600, LOS ANGELES, CA 90026-5421
(213) 989-0700
(213) 989-0703
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G58271
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G58271
MEDICAL LISENCE
CA
Enumeration date
07/02/2008
Last updated
07/02/2008
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