Individual
MISS ERICA MARY QUENVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11645 WILSHIRE BLVD STE 600, LOS ANGELES, CA 90025-6807
(310) 477-5558
(310) 477-7281
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5820
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA53493
CA
Other
Enumeration date
06/02/2016
Last updated
10/22/2025
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