Provider Demographics
NPI:1922836758
Name:ESCOBAR-TZINTZUN, VERENICE JUDITH
Entity type:Individual
Prefix:
First Name:VERENICE
Middle Name:JUDITH
Last Name:ESCOBAR-TZINTZUN
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 1:450 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-4562
Mailing Address - Country:US
Mailing Address - Phone:714-376-7442
Mailing Address - Fax:
Practice Address - Street 1:450 W 4TH ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4562
Practice Address - Country:US
Practice Address - Phone:714-376-7442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker