Healthcare Provider Details

I. General information

NPI: 1457561300
Provider Name (Legal Business Name): MONICA MARIA CUEVAS B.S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 10/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13950 MILTON AVE
WESTMINSTER CA
92683-2900
US

IV. Provider business mailing address

407 E GRANT ST
SANTA ANA CA
92701-5941
US

V. Phone/Fax

Practice location:
  • Phone: 714-793-1290
  • Fax:
Mailing address:
  • Phone: 714-793-1290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: