Xaleese Evelyn Kueppers
Technician/Technologist
12265 Ventura Blvd Ste 107
Studio City
, California 91604-2530
Xaleese Evelyn Kueppers
Technician/Technologist
12265 Ventura Blvd Ste 107
Studio City
, California 91604-2530
(310) 691-5411
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About
Features
Specialties
- Technician/Technologist
Languages spoken
- English
Location
First Address
- Xaleese Evelyn Kueppers
- 23808 Brescia Dr
- Valencia, CA
- Zip : 91354-3000
- Phone : (310) 691-5411
Second Address
- Xaleese Evelyn Kueppers
- 12265 Ventura Blvd Ste 107
- Studio City, CA
- Zip : 91604-2530
- Phone : (310) 691-5411
Reviews
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Is Xaleese Evelyn Kueppers a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist |
National Provider Identifier
| NPI | 1235771643 |
|---|---|
| Provider Name | Xaleese Evelyn Kueppers |
| First Address | Valencia, CA 91354-3000 |
| Second Address | Studio City, CA 91604-2530 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/10/2019 |
| Last Update Date | 17/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 152799 | SURGICAL TECHNOLOGIST (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.