MEDICARE: DR. ANIANO A. CUEVA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	A38826	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366491698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANIANO A. CUEVA M.D.

Provider Business Mailing Address
First Line	:	711 W COLLEGE ST
Second Line	:	628
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-1163
Country	:	US
Telephone Number	:	213-830-8920
Fax Number	:	213-830-8925

Provider Business Practice Location Address
First Line	:	530 E WASHINGTON BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90015-3723
Country	:	US
Telephone Number	:	213-747-0077
Fax Number	:	213-747-0784

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	07/08/2007

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