Healthcare Provider Details

I. General information

NPI: 1811830839
Provider Name (Legal Business Name): ESMERALDA CUEVAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17707 STUDEBAKER RD
CERRITOS CA
90703-2640
US

IV. Provider business mailing address

1109 N MARINE AVE
WILMINGTON CA
90744-3126
US

V. Phone/Fax

Practice location:
  • Phone: 562-402-0688
  • Fax: 562-402-0688
Mailing address:
  • Phone: 323-424-8960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: