Healthcare Provider Details

I. General information

NPI: 1366328213
Provider Name (Legal Business Name): TERESA CUADRAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2677 ZOE AVE STE 304
HUNTINGTON PARK CA
90255-3699
US

IV. Provider business mailing address

2677 ZOE AVE
HUNTINGTON PARK CA
90255-4195
US

V. Phone/Fax

Practice location:
  • Phone: 323-346-0960
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: