Individual
ROD CUERVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26941 CABOT RD STE 115, LAGUNA HILLS, CA 92653-7006
(949) 916-5011
Mailing address
26941 CABOT RD STE 115, LAGUNA HILLS, CA 92653-7006
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XB0016630
—
CA
Enumeration date
03/21/2007
Last updated
07/09/2007
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