Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIM ESCUDERO, M.D.
Active Sole ProprietorDR. KIM ESCUDERO, M.D. is a Pediatrics healthcare provider located in MAMMOTH LAKES, California. NPI 1063568293 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · MAMMOTH LAKES, CA
Registration Details
- NPI Number
- 1063568293
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 29, 2007 (19.498542407404 yrs)
- Last Updated
- Mar 12, 2013
- License
-
A61421 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
85 SIERRA PARK RDMAMMOTH LAKES, CA, 935460660Browse CA providers · Browse ZIP 93546
- Phone
- 7609244000
- Fax
- 7609244091
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in MAMMOTH LAKES, CA
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD OWEN JOHNSON | MD | 1063528362 |
| DR. KRISTIN ELIZABETH COLLINS | DO | 1366678930 |
| MARY BATHEN BISSELL | M.D. | 1821349622 |
| SARAH RUBERMAN | M.D. | 1225490659 |
| GRACE CHARMIE KIM | MD, MPP | 1013479997 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.