Individual
DR. CAROUCEL KIM CHUATECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1663 BEVERLY BLVD STE 101, LOS ANGELES, CA 90026-5747
(213) 250-0235
(213) 250-0439
Mailing address
1663 BEVERLY BLVD STE 101, LOS ANGELES, CA 90026-5747
(213) 250-0235
(213) 250-0439
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A85249
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A85249
—
CA
Enumeration date
07/06/2006
Last updated
07/08/2007
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