Individual
MR. FERNANDO JAVIER ESCOBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT, L.AC.
Contact information
Practice address
10438 CULVER BLVD, CULVER CITY, CA 90232-3466
(310) 963-9521
Mailing address
10438 CULVER BLVD, CULVER CITY, CA 90232-3466
(310) 963-9521
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
13195
CA
225700000X
Massage Therapist
837
CA
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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