E.Vicencio-Quevedo M.D. Inc.

LBN: E.Vicencio-Quevedo M.D. Inc.
E.Vicencio-Quevedo M.D. Inc. is an health care organization with primary practice located at 709 E Colorado Blvd #160, Pasadena CA 91101-2125. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. E.Vicencio-Quevedo M.D. Inc. can be contacted via phone (818) 822-8317, or through Vicencio-Quevedo, Eduardita E via phone (818) 822-8317.

Contact Information

Primary practice address
709 E Colorado Blvd #160 Pasadena CA 91101-2125
Phone: (818) 822-8317
Fax: (626) 793-7580
Website:
Map and Directions
Authorized official contact:
Name: Vicencio-Quevedo, Eduardita E Doctor of Medicine (MD)
Phone: (818) 822-8317

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A23710 California

Profile Details

NPI number 1417179185
LBN Legal business name E.Vicencio-Quevedo M.D. Inc.
DBA Doing business as
Authorized official Vicencio-Quevedo, Eduardita E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Feb 6th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417179185 NPPES
California MEDICAID 00A237100

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