Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 267071 | NY |
Y | 207XS0106X | Orthopaedic Hand Surgeon | A134536 | CA |
NPI | 1255575288 |
---|---|
Provider Name | Dr. Vanessa Gabrovsky Cuellar |
First Address | Beverly Hills, CA 90210-4231 |
Second Address | Beverly Hills, CA 90210-4231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2009 |
Last Update Date | 07/02/2017 |