Provider Demographics
NPI:1922471655
Name:CONTRERAS, YVETTE (LAC)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16222 ARROW HWY
Mailing Address - Street 2:
Mailing Address - City:IRWINDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91706-2015
Mailing Address - Country:US
Mailing Address - Phone:626-337-4000
Mailing Address - Fax:626-956-0671
Practice Address - Street 1:16222 ARROW HWY
Practice Address - Street 2:
Practice Address - City:IRWINDALE
Practice Address - State:CA
Practice Address - Zip Code:91706-2015
Practice Address - Country:US
Practice Address - Phone:626-337-4000
Practice Address - Fax:626-956-0671
Is Sole Proprietor?:No
Enumeration Date:2015-11-03
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16208171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist