Healthcare Provider Details

I. General information

NPI: 1699904060
Provider Name (Legal Business Name): JOSEPH ANTHONY CUENTO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2009
Last Update Date: 05/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

931 BUENA VISTA ST SUITE 100
DUARTE CA
91010-1712
US

IV. Provider business mailing address

931 BUENA VISTA ST SUITE 100
DUARTE CA
91010-1712
US

V. Phone/Fax

Practice location:
  • Phone: 626-357-5087
  • Fax: 626-357-2303
Mailing address:
  • Phone: 626-357-5087
  • Fax: 626-357-2303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA108688
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: