Provider Demographics
NPI:1902847395
Name:ESCARCHA, LORAINE ARAMBURO (MD)
Entity Type:Individual
Prefix:
First Name:LORAINE
Middle Name:ARAMBURO
Last Name:ESCARCHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 DELBON AVE
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-2021
Mailing Address - Country:US
Mailing Address - Phone:209-667-0905
Mailing Address - Fax:
Practice Address - Street 1:1100 DELBON AVE
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-2021
Practice Address - Country:US
Practice Address - Phone:209-667-0905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00044895208000000X
CAA103282208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8428294Medicaid
WAI48565Medicare UPIN
WA8428294Medicaid