Provider Information for 1073001509
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FRANCISCO QUINONEZ
Sex: Male
NPI: 1073001509
Last Updated: 2024-11-18
Certification Date: 2024-11-18
Certification Date: 2024-11-18
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1073001509 | ||||||||
| Enumeration Date | 2018-04-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6736 LAUREL CANYON BLVD STE 200 NORTH HOLLYWOOD, CA 91606-1576 United States Phone: 818-755-8786 | Fax:818-755-8789 | ||||||||
| Primary Practice Address | 6736 LAUREL CANYON BLVD STE 200 NORTH HOLLYWOOD, CA 91606 United States Phone: 818-755-8786 | Fax:818-755-8789 | ||||||||
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