1700835998 NPI number — RIYANTO QUEMENA D.P.M.

Table of content: RIYANTO QUEMENA D.P.M. (NPI 1700835998)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700835998 NPI number — RIYANTO QUEMENA D.P.M.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
QUEMENA
Provider First Name:
RIYANTO
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
D.P.M.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
QUEMENA
Provider Other First Name:
RAY
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.P.M.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1700835998
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/27/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
841 W VALLEY BLVD
Provider Second Line Business Mailing Address:
SUITE#102
Provider Business Mailing Address City Name:
ALHAMBRA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91803-3251
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
626-576-2900
Provider Business Mailing Address Fax Number:
626-576-3968

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
841 W VALLEY BLVD
Provider Second Line Business Practice Location Address:
SUITE#102
Provider Business Practice Location Address City Name:
ALHAMBRA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91803-3251
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-576-2900
Provider Business Practice Location Address Fax Number:
626-576-3968
Provider Enumeration Date:
05/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  E2792 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000E27920 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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