Provider Demographics
NPI:1457412967
Name:CUEVAS, ALBERT L (DC)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:L
Last Name:CUEVAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 FLORENCE AVE
Mailing Address - Street 2:
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:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26369111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition