Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kim Escudero, MD

Individual provider Pediatrics Physician · NPI 1063568293

Dr. Kim Escudero, MD is a Pediatrics Physician in Mammoth Lakes, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

85 Sierra Park Rd
Mammoth Lakes, CA 93546-0660
Phone: (760) 924-4000
Fax: (760) 924-4091
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A61421 (CA)

Record details

NPI number1063568293
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 29, 2007
Last updated in NPPESMarch 12, 2013

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