Provider Demographics
NPI:1851193221
Name:ESCOBAR, LOPEZ, FRANCISCO ALEJANDRO (RADT)
Entity type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:ALEJANDRO
Last Name:ESCOBAR, LOPEZ
Suffix:
Gender:
Credentials:RADT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83844 HOPI AVE
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92203-2638
Mailing Address - Country:US
Mailing Address - Phone:760-347-9442
Mailing Address - Fax:760-342-8022
Practice Address - Street 1:83844 HOPI AVE
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92203-2638
Practice Address - Country:US
Practice Address - Phone:760-347-9442
Practice Address - Fax:760-342-8022
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAR1556530424101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)