Blanca A Quevedo, is a
Rehabilitation Practitioner based in East Los Angeles, California. Blanca A Quevedo is licensed to practice in California (license number 104194) and her current practice location is
4701 E Cesar Chavez Ave, East Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(213) 364-1325.
NPI number for Blanca A Quevedo is 1548455108 and her current mailing address is 3258 E 3rd St, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548455108.
Healthcare Provider's Profile
Full Name | Blanca A Quevedo |
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Gender | Female |
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Speciality | Rehabilitation Practitioner |
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Location | 4701 E Cesar Chavez Ave, East Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548455108
- Provider Enumeration Date: 09/07/2007
- Last Update Date: 05/13/2025
Medical Identifiers
Medical identifiers for Blanca A Quevedo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548455108 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 68122 (California) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
225400000X | Rehabilitation Practitioner | 104194 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Blanca A Quevedo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Blanca A Quevedo, 3258 E 3rd St, Los Angeles, CA 90063-3014 Ph: (323) 719-0535 | Blanca A Quevedo, 4701 E Cesar Chavez Ave, East Los Angeles, CA 90022 Ph: (213) 364-1325 |
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