DOMENIQUE ESCOBAR

LOS ANGELES, CA
NPI1659875847
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: CA  A163638)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-03-21
Last Update Date2024-08-23
Business Address
DOMENIQUE ESCOBAR MD
1510 SAN PABLO ST
LOS ANGELES, CA 90033-5320
Phone number: 323-276-3707
Mailing Address
DOMENIQUE ESCOBAR MD
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-276-3707