Provider Demographics
NPI:1073880167
Name:ALICIA P. CUENTO, M.D., INC
Entity Type:Organization
Organization Name:ALICIA P. CUENTO, M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:PEKSON
Authorized Official - Last Name:CUENTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-357-5087
Mailing Address - Street 1:931 BUENA VISTA ST
Mailing Address - Street 2:#100
Mailing Address - City:DUARTE
Mailing Address - State:CA
Mailing Address - Zip Code:91010-1712
Mailing Address - Country:US
Mailing Address - Phone:626-357-5087
Mailing Address - Fax:626-357-2303
Practice Address - Street 1:931 BUENA VISTA ST
Practice Address - Street 2:#100
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-1712
Practice Address - Country:US
Practice Address - Phone:626-357-5087
Practice Address - Fax:626-357-2303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty