Provider Demographics
NPI:1497486948
Name:KEMPE, YANTZY ESCOTO
Entity type:Individual
Prefix:
First Name:YANTZY
Middle Name:ESCOTO
Last Name:KEMPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24850 HANCOCK AVE APT B208
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-8100
Mailing Address - Country:US
Mailing Address - Phone:651-983-5885
Mailing Address - Fax:
Practice Address - Street 1:1529 GRAND AVE STE A
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-2464
Practice Address - Country:US
Practice Address - Phone:760-798-0320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-23
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner