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EVELYN CUARESMA RIVERO MD
>> General Practice >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1295838167
Individual Registrant: EVELYN CUARESMA RIVERO MD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
4352 FOUNTAIN AVENUE L A, CA 90029 US
Tel: 323-913-9094 Fax: 323-913-2492
Tel: 323-913-9094 Fax: 323-913-2492
Contact information for business:
4352 FOUNTAIN AVENUE L A, CA 90029 US
Tel: 323-913-9094 Fax: 323-913-2492
Tel: 323-913-9094 Fax: 323-913-2492
Registration Information:
NPI: 1295838167
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 208D00000X | Allopathic & Osteopathic Physicians General Practice | CA | A37002 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
