Individual
MR. JOSIAS CERRITOS ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5774
Mailing address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95014767
CA
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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