Quezada, Rebeca Leticia
Quezada, Rebeca Leticia is an sole proprietor health care provider with primary practice located at 3270 Kerner Blvd Suite B, San Rafael CA 94901-4840. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Quezada, Rebeca Leticia can be contacted via phone (415) 473-2100.Contact Information
Primary practice address
3270 Kerner Blvd Suite B
San Rafael CA 94901-4840
Phone: (415) 473-2100
Fax: (415) 473-3850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A80065 | California |
Profile Details
| NPI number | 1477641033 |
|---|---|
| LBN Legal business name | Quezada, Rebeca Leticia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Mar 2nd, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477641033 | NPPES |
| California | Other | CI4902 | PTAN |
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