Individual
JUAN MANUEL QUEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
995 GATEWAY CENTER WAY STE 207, SAN DIEGO, CA 92102-4544
(619) 263-9729
(619) 263-9730
Mailing address
9373 HAZARD WAY STE 200, STE 200, SAN DIEGO, CA 92123-1226
(858) 810-8000
(858) 268-1911
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17941
PR
207RN0300X
Nephrology Physician
279615
NY
207RN0300X
Nephrology Physician
Primary
A144881
CA
Other
Enumeration date
09/28/2007
Last updated
01/16/2026
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