Provider Demographics
NPI:1033369467
Name:QUEMA, RACQUEL S (MD)
Entity Type:Individual
Prefix:
First Name:RACQUEL
Middle Name:S
Last Name:QUEMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14624 SHERMAN WAY
Mailing Address - Street 2:STE 401
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-5848
Mailing Address - Country:US
Mailing Address - Phone:818-786-1200
Mailing Address - Fax:818-786-1201
Practice Address - Street 1:14624 SHERMAN WAY
Practice Address - Street 2:STE 401
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-5848
Practice Address - Country:US
Practice Address - Phone:818-786-1200
Practice Address - Fax:818-786-1201
Is Sole Proprietor?:No
Enumeration Date:2008-09-22
Last Update Date:2016-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA105596207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine