Escobedo, Eva Bernadette

Escobedo, Eva Bernadette is an individual health care provider with primary practice located at 4660 Viewridge Ave Ste 100A , San Diego CA 92123-1638. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Escobedo, Eva Bernadette can be contacted via phone (909) 952-4106.

Contact Information

Primary practice address
4660 Viewridge Ave Ste 100A San Diego CA 92123-1638
Phone: (909) 952-4106
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 14965-RAC California

Profile Details

NPI number 1003465659
LBN Legal business name Escobedo, Eva Bernadette
Credentials EVA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2019
Last updated Nov 23rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003465659 NPPES
California MEDICAID $$$$$$$$$

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