Provider Demographics
NPI:1598639841
Name:MADAMBA, KAREN YSABELLE ESCOBIN
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:YSABELLE ESCOBIN
Last Name:MADAMBA
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 1:1901 E 4TH ST STE 350
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3908
Mailing Address - Country:US
Mailing Address - Phone:949-430-2789
Mailing Address - Fax:
Practice Address - Street 1:1901 E 4TH ST STE 350
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3908
Practice Address - Country:US
Practice Address - Phone:949-430-2789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach