Individual
JOANNA BISQUERA-CACPAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1401 S GRAND AVE, LOS ANGELES, CA 90015-3010
(213) 461-0018
Mailing address
5120 E VERNON ST, LONG BEACH, CA 90815-1950
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A141091
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A141091
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/22/2014
Last updated
04/20/2021
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