Individual provider · Type 1 NPI

Addy Escobedo

Assisted Living Facility · Apple Valley, CA

NPI number 1063307940 Active

Practice location

14186 Cuyamaca Rd
Apple Valley, CA 92307-5935

Call (323) 350-2415 Map

Fax (323) 350-2415

Mailing address

512 Holladay Pl
Rialto, CA 92376-5706

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X361881127 (CA)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1063307940

Addy Escobedo's National Provider Identifier is 1063307940, issued on Jun 11, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Apple Valley, CA. The record was last updated on Jun 11, 2025.