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NPI Code Detail

MEDICARE: LUPITA QUEZADA

MEDICARE:   LUPITA  QUEZADA
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
1106H00000XMarriage & Family Therapist140860CA

General Provider Information

NPI Number : 1427515618
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUPITA QUEZADA
Provider Business Mailing Address
First Line : 142 E. CALIFORNIA AVE.,
Second Line :
City : FRESNO
State : CA
Zip : 93706
Country : US
Telephone Number : 559-903-8651
Fax Number : 844-587-6405
Provider Business Practice Location Address
First Line : 142 E. CALIFORNIA AVE.,
Second Line :
City : FRESNO
State : CA
Zip : 93706-3642
Country : US
Telephone Number : 559-600-1033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2019
Last Update Date : 05/20/2026

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Directions to “ LUPITA QUEZADA ” Practice Location

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