Healthcare Provider Details

I. General information

NPI: 1972838605
Provider Name (Legal Business Name): CUEVAS CHIROPRACTIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2009
Last Update Date: 10/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 FLORENCE AVE SUITE B
BELL GARDENS CA
90201-4922
US

IV. Provider business mailing address

6600 FLORENCE AVE SUITE B
BELL GARDENS CA
90201-4922
US

V. Phone/Fax

Practice location:
  • Phone: 562-927-5117
  • Fax: 562-927-6117
Mailing address:
  • Phone: 562-927-5117
  • Fax: 562-927-6117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberDC26369
License Number StateCO

VIII. Authorized Official

Name: MS. ANABEL PADILLA
Title or Position: MANAGER
Credential:
Phone: 562-927-5117