Individual
BLANCA A. QUEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4701 E CESAR CHAVEZ AVE, EAST LOS ANGELES, CA 90022
(213) 364-1325
Mailing address
3258 E 3RD ST, LOS ANGELES, CA 90063-3014
(323) 719-0535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
68122
CA
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
104194
CA
Other
Enumeration date
09/07/2007
Last updated
05/13/2025
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