Individual
DR. TEODULO GUEVARRA MENESES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(323) 409-4617
Mailing address
5029 ELMWOOD AVE, APT 10, LOS ANGELES, CA 90004-1553
(562) 916-6905
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A118557
CA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/22/2009
Last updated
10/21/2021
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