Provider Demographics
NPI:1821985979
Name:ESCOTO, YOLANDA EDITH
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:EDITH
Last Name:ESCOTO
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 1:1400 RIDGEBACK RD APT C
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-6917
Mailing Address - Country:US
Mailing Address - Phone:619-634-0699
Mailing Address - Fax:
Practice Address - Street 1:1400 RIDGEBACK RD APT C
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-6917
Practice Address - Country:US
Practice Address - Phone:619-634-0699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOTA314224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant