Individual
DR. ABIEZER NATANAEL DISLA CUEVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 E OAK AVE, VISALIA, CA 93291-5034
(877) 960-3426
(559) 734-1247
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8652
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A154728
CA
208000000X
Pediatrics Physician
Primary
MD209159
OR
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154707875
—
CA
Enumeration date
08/04/2015
Last updated
08/11/2022
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