Individual
MICHAEL QUEZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
850 FAIR OAKS AVE STE 220, ARROYO GRANDE, CA 93420-3929
(805) 434-5530
(805) 786-4220
Mailing address
850 FAIR OAKS AVE STE 220, ARROYO GRANDE, CA 93420-3929
(805) 434-5530
(805) 434-0023
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A140790
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MQ3232267556
—
CA
Enumeration date
04/05/2014
Last updated
10/02/2024
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