Yadhira Quintana
Individual provider Active NPI Case Manager/Care Coordinator · Pasaden, CA
NPI 1609955673 · NPPES record last updated Apr 11, 2008
Key facts
- NPI
- 1609955673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 300 East Walnut Street
Room 200
Pasaden, CA 91101 - Phone
- (626) 356-5377
- Fax
- (626) 568-9461
- NPI assigned
- Nov 2, 2006
- Reactivated
- Apr 11, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
300 East Walnut Street
Room 200
Pasaden, CA 91101
Mailing address
9150 East Imperial Highway Room P-31
Downey, CA 90242
Phone (562) 940-3694
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.