Escalante, Tanisha

Escalante, Tanisha is an individual health care provider with primary practice located at 44447 10Th St W , Lancaster CA 93534. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Escalante, Tanisha can be contacted via phone (661) 726-2630.

Contact Information

Primary practice address
44447 10Th St W Lancaster CA 93534
Phone: (661) 726-2630
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1952778060
LBN Legal business name Escalante, Tanisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2015
Last updated Jul 16th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952778060 NPPES
California MEDICAID 7420
California MEDICAID 7068
California MEDICAID 6758

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