Individual
MS. CARMEN ALICIA QUERAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
11301 WILSHIRE BLVD., DEPT. OF VA--GREATER LOS ANGELES HEALTHCARE SYSTEM, LOS ANGELES, CA 90073
(310) 478-3711
Mailing address
7225 CRESCENT PARK W, APT 239, PLAYA VISTA, CA 90094-2724
(818) 510-4425
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA 910903
FL
363AM0700X
Medical Physician Assistant
Primary
PA 11484
CA
Other
Enumeration date
01/03/2008
Last updated
05/19/2016
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