Individual
ANN AIKO TERAI ESCAMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
315 E ROUTE 66, GLENDORA, CA 91740-6244
(626) 963-4124
Mailing address
1101 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-5808
(626) 851-6675
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
32856
AZ
207V00000X
Obstetrics & Gynecology Physician
Primary
C55477
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031813
MEDICARE
AZ
01
—
031814
MEDICARE
AZ
01
—
031820
MEDICARE
AZ
01
—
031881
MEDICARE
—
01
—
0331815
MEDICARE
—
01
—
ZFQ31815
MEDICARE
—
Enumeration date
09/08/2005
Last updated
02/02/2024
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