Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | DC26369 | CA |
NPI | 1457412967 |
---|---|
Provider Name | Dr. Albert L. Cuevas |
First Address | Bell Gardens, CA 90201-4922 |
Second Address | Bell Gardens, CA 90201-4922 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 08/07/2007 |