Healthcare Provider Details

I. General information

NPI: 1346976131
Provider Name (Legal Business Name): OSCAR CUEVAS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2022
Last Update Date: 11/10/2023
Certification Date: 11/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9890 COUNTY FARM RD BLDG 3
RIVERSIDE CA
92503-3678
US

IV. Provider business mailing address

24786 SHOREHAM AVE
MORENO VALLEY CA
92553-3934
US

V. Phone/Fax

Practice location:
  • Phone: 951-509-2499
  • Fax:
Mailing address:
  • Phone: 951-442-9231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: