Escueta, Antonio Valentino

Escueta, Antonio Valentino is an individual health care provider with primary practice located at 300 Medical Plz #B200, Los Angeles CA 90095-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Escueta, Antonio Valentino can be contacted via phone (310) 794-1195.

Contact Information

Primary practice address
300 Medical Plz #B200 Los Angeles CA 90095-0001
Fax: (310) 794-7491
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X A29488 California
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A29488 California

Profile Details

NPI number 1518982495
LBN Legal business name Escueta, Antonio Valentino
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jan 16th, 2020 - about 4 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 1518982495 NPPES
California MEDICAID 00A294880

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