SearchCalifornia175T00000X

Jerusalem Hernandez Quevedo

NPI 1417699091 · on the registry since 2022 · sole proprietor

Practice

Address
8836 S Vermont Ave
Los Angeles, CA 90044
Phone
(213) 451-4370
Organisation at this address
Southern California Health & Rehabilitation Program
Inferred from a shared address, not stated in the registry.
Clinicians at this address
57

Registry record

Primary taxonomy
175T00000X
175T00000X
Also registered as
172V00000X
175T00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California