Provider Demographics
NPI:1922763937
Name:ESCOBEDO, KARINA (PA)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:ESCOBEDO
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:4140 W 190TH ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-5513
Mailing Address - Country:US
Mailing Address - Phone:310-248-8200
Mailing Address - Fax:310-248-8290
Practice Address - Street 1:8536 WILSHIRE BLVD STE 202
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3154
Practice Address - Country:US
Practice Address - Phone:310-248-8200
Practice Address - Fax:310-248-8290
Is Sole Proprietor?:No
Enumeration Date:2021-11-04
Last Update Date:2025-06-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA60345207Q00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine