Provider Demographics
NPI:1962806018
Name:YVETTE CONTRERAS
Entity type:Organization
Organization Name:YVETTE CONTRERAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:CONTRERAS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:626-337-4000
Mailing Address - Street 1:14135 FRANCISQUITO AVE
Mailing Address - Street 2:209
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706-6107
Mailing Address - Country:US
Mailing Address - Phone:626-337-4000
Mailing Address - Fax:626-956-0671
Practice Address - Street 1:14135 FRANCISQUITO AVE
Practice Address - Street 2:209
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-6107
Practice Address - Country:US
Practice Address - Phone:626-337-4000
Practice Address - Fax:626-956-0671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16208171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty