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NPI Code Detail

MEDICARE: MS. DEANNA MARIE QUESADA

MEDICARE: MS. DEANNA MARIE QUESADA
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
1101Y00000XCounselor
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1497800494
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEANNA MARIE QUESADA
Provider Business Mailing Address
First Line : 815 N EL CENTRO AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90038-3805
Country : US
Telephone Number : 323-769-7186
Fax Number :
Provider Business Practice Location Address
First Line : 815 N EL CENTRO AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90038-3805
Country : US
Telephone Number : 323-769-7186
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 05/16/2013

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Directions to “ MS. DEANNA MARIE QUESADA ” Practice Location

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