Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 31229 | CA |
Y | 103T00000X | Psychologist | 31229 | CA |
NPI | 1003465709 |
---|---|
Provider Name | Dr. Oscar Steven Escobar |
First Address | Sacramento, CA 95833-1945 |
Second Address | Sacramento, CA 95833-1945 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2019 |
Last Update Date | 11/02/2022 |