Provider Demographics
NPI:1275337594
Name:ESCOBEDO, MANUEL (PEER SPECIALIST)
Entity type:Individual
Prefix:MR
First Name:MANUEL
Middle Name:
Last Name:ESCOBEDO
Suffix:
Gender:
Credentials:PEER SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:674 COUNTY SQUARE DR STE 106
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-5454
Mailing Address - Country:US
Mailing Address - Phone:805-676-0022
Mailing Address - Fax:
Practice Address - Street 1:674 COUNTY SQUARE DR STE 106
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-5454
Practice Address - Country:US
Practice Address - Phone:805-676-0022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No175T00000XOther Service ProvidersPeer Specialist