Provider Demographics
NPI:1770756330
Name:ESCOBEDO, ANTONIO ENRIQUE (MD)
Entity type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:ENRIQUE
Last Name:ESCOBEDO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:15725 E. WHITTIER BLVD
Mailing Address - Street 2:SUITE 450
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603
Mailing Address - Country:US
Mailing Address - Phone:562-947-3307
Mailing Address - Fax:562-943-1090
Practice Address - Street 1:15725 WHITTIER BLVD
Practice Address - Street 2:SUITE 450
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-2347
Practice Address - Country:US
Practice Address - Phone:562-947-3307
Practice Address - Fax:562-943-1090
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-03
Last Update Date:2013-09-24
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Provider Licenses
StateLicense IDTaxonomies
CAA95736207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease