Racquel S Quema Md Inc | |
421 E Angeleno Ave Ste 105 Burbank CA 91501-2286 | |
(818) 900-2301 | |
(818) 900-2471 |
Full Name | Racquel S Quema Md Inc |
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Speciality | Family Medicine |
Location | 421 E Angeleno Ave Ste 105, Burbank, California |
Authorized Official Name and Position | Racquel S Quema (BUSINESS OWNER) |
Authorized Official Contact | 8189002301 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Racquel S Quema Md Inc 421 E Angeleno Ave Ste 105 Burbank CA 91501-2286 Ph: (818) 900-2301 | Racquel S Quema Md Inc 421 E Angeleno Ave Ste 105 Burbank CA 91501-2286 Ph: (818) 900-2301 |
NPI Number | 1881139178 |
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Provider Enumeration Date | 12/22/2016 |
Last Update Date | 07/12/2024 |
Medicare PECOS PAC ID | 2264713478 |
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Medicare Enrollment ID | O20161230001276 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881139178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A105596 (California) | Primary |
Provider Name | Racquel S Quema |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033369467 PECOS PAC ID: 6305020124 Enrollment ID: I20110401000777 |
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