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NPI Code Detail

MEDICARE: DR. BRIGIDA GUEVARA-REBUENO M.D.,

MEDICARE: DR. BRIGIDA GUEVARA-REBUENO 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
1208D00000XGeneral Practice PhysicianA40347CA

Other Identifiers

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

General Provider Information

NPI Number : 1750329298
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIGIDA GUEVARA-REBUENO M.D.,
Provider Business Mailing Address
First Line : 1300 S SUNSET AVE
Second Line :
City : WEST COVINA
State : CA
Zip : 91790-3342
Country : US
Telephone Number : 626-960-6999
Fax Number : 626-337-1231
Provider Business Practice Location Address
First Line : 1300 S SUNSET AVE
Second Line :
City : WEST COVINA
State : CA
Zip : 91790-3342
Country : US
Telephone Number : 626-960-6999
Fax Number : 626-337-1231
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2006
Last Update Date : 07/08/2007

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Directions to “ DR. BRIGIDA GUEVARA-REBUENO M.D.,” Practice Location

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