Provider Demographics
NPI:1972838605
Name:CUEVAS CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:CUEVAS CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-927-5117
Mailing Address - Street 1:6600 FLORENCE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:BELL GARDENS
Mailing Address - State:CA
Mailing Address - Zip Code:90201-4922
Mailing Address - Country:US
Mailing Address - Phone:562-927-5117
Mailing Address - Fax:562-927-6117
Practice Address - Street 1:6600 FLORENCE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:BELL GARDENS
Practice Address - State:CA
Practice Address - Zip Code:90201-4922
Practice Address - Country:US
Practice Address - Phone:562-927-5117
Practice Address - Fax:562-927-6117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODC26369261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA111NI0900XMedicare UPIN