Individual
MR. ROBERT MICHAEL QUEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
11301 WILSHIRE BLVD BLDG 402, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
11301 WILSHIRE BLVD BLDG 402, LOS ANGELES, CA 90073-1003
(310) 478-3711
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95018726
CA
Other
Enumeration date
04/09/2007
Last updated
01/03/2022
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