Individual provider · Type 1 NPI

Lyann Michelle Escudero

Rehabilitation Practitioner · Los Angeles, CA

NPI number 1174197305 Active

Practice location

5054 S Vermont Ave
Los Angeles, CA 90037-2946

Mailing address

3031 S Vermont Ave
Los Angeles, CA 90007-3033

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1174197305

Lyann Michelle Escudero's National Provider Identifier is 1174197305, issued on May 12, 2021. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 18, 2025.