Carolyn N. Quetzal

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

DC26621 Issued in CA

Legal business name

CAROLYN N. QUETZAL

Doing business as

Mothers Wellness Connection

Practice address

18340 Ventura Blvd
Suite 222
Tarzana, CA 91356-4234

Phone

(818) 757-3131

NPI assigned

May 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carolyn N Quetzal, M.ED., D.C.

Title

Director

Phone

(818) 757-3131

Specialties & licenses 1

Addresses

Other names 1

• Mothers Wellness Connection Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1578773669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18340 VENTURA BLVD",
            "address_2": "SUITE 222",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564234",
            "telephone_number": "818-757-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18340 VENTURA BLVD",
            "address_2": "SUITE 222",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564234",
            "telephone_number": "818-757-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN N. QUETZAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "QUETZAL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-757-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.ED., D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "DC26621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mothers Wellness Connection",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyle Carlson
• Carlton B Sampson MD Inc
• E Duane Carmalt, M.D.
• Carmen Botero, MD
• Brenda Carnese
• Daniel J Carpenter
• Elias S. Carranza
• Joselin Elizabeth Carranza, CMT
• Teresa I Carsley, LMFT
• Alena Mae Carter, PH.D.

• Health Service Clinic/Center in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.