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EVELYN CUARESMA RIVERO MD

>> General Practice >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1295838167

Individual Registrant:
 EVELYN CUARESMA RIVERO MD
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

Contact information for business:
4352 FOUNTAIN AVENUE  L A, CA 90029 US
Tel: 323-913-9094  Fax: 323-913-2492

Registration Information:
NPI: 1295838167
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208D00000XAllopathic & Osteopathic Physicians
General Practice
CAA37002

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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