Individual
DR. REGINA MATILLA CUENCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1211 W LA PALMA AVE, SUITE 207, ANAHEIM, CA 92801-2815
(714) 772-8282
(714) 772-6493
Mailing address
1211 W LA PALMA AVE, SUITE 207, ANAHEIM, CA 92801-2815
(714) 772-8282
(714) 772-6493
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A8525
CA
208M00000X
Hospitalist Physician
Primary
20A8525
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX85250
—
CA
01
—
P00229265
MEDICARE RR
CA
Enumeration date
09/20/2006
Last updated
03/07/2023
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