Provider Demographics
NPI:1629412044
Name:ESCANO, ANGELINA JINHI (MD)
Entity Type:Individual
Prefix:MRS
First Name:ANGELINA
Middle Name:JINHI
Last Name:ESCANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4102 PINION DRIVE
Mailing Address - Street 2:PEDIATRICS CLINIC
Mailing Address - City:USAFA
Mailing Address - State:CO
Mailing Address - Zip Code:80840
Mailing Address - Country:US
Mailing Address - Phone:719-333-5756
Mailing Address - Fax:719-333-5442
Practice Address - Street 1:4102 PINION DRIVE
Practice Address - Street 2:PEDIATRICS CLINIC
Practice Address - City:USAFA
Practice Address - State:CO
Practice Address - Zip Code:80840
Practice Address - Country:US
Practice Address - Phone:719-333-5756
Practice Address - Fax:719-333-5442
Is Sole Proprietor?:No
Enumeration Date:2013-04-29
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE28289208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics