Provider Demographics
NPI:1598155566
Name:ESCOBEDO-SOCHET, ALEJANDRA (FAMILY PARTNER)
Entity Type:Individual
Prefix:
First Name:ALEJANDRA
Middle Name:
Last Name:ESCOBEDO-SOCHET
Suffix:
Gender:F
Credentials:FAMILY PARTNER
Other - Prefix:
Other - First Name:ALEJANDRA
Other - Middle Name:
Other - Last Name:SOCHET
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:10944 SAN PABLO AVE APT 611
Mailing Address - Street 2:
Mailing Address - City:EL CERRITO
Mailing Address - State:CA
Mailing Address - Zip Code:94530-2377
Mailing Address - Country:US
Mailing Address - Phone:510-860-3525
Mailing Address - Fax:
Practice Address - Street 1:13585 SAN PABLO AVE 1ST FLOOR
Practice Address - Street 2:
Practice Address - City:SAN PABLO
Practice Address - State:CA
Practice Address - Zip Code:94806-3305
Practice Address - Country:US
Practice Address - Phone:510-942-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-29
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACNMDTUYLREWJKOFB175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA0448OtherORI NUMBER
CA011400218OtherAGENCY/FACILITY/OCA NUMBER