| Doctor Name: | MR. CYRUS QUEROL |
| NPI Number: | 1013365923 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.A. |
| License Number: | 53192 |
| Business Practice Address: | 1798 N Garey Ave Pomona, CA - 917672918 |
| Business Phone Number: | 5103502698 |
| Business Fax Number: | 5108799084 |
| Mailing Address: | 2100 Powell St, Suite 900 EMERYVILLE |
| State: | CA |
| Postal Code: | 946081826 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/01/2016 |
| NPI Last Update Date: | 06/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 53192 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |