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Irving Quinonez

Student in an Organized Health Care Education/Training Program in Lynwood, CA. Individual provider (NPI-1).

NPI number1205243136
StatusActive
Last updated in NPPESNov 2, 2021

Details

NPI
1205243136
Entity type
Individual (NPI-1)
Name
Irving Quinonez
Sex
Male
Sole proprietor
No
Enumeration date
Jul 11, 2014
Certification date
Nov 2, 2021
Last updated
Nov 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
171M00000X Case Manager/Care Coordinator––

Practice location

11705 Deputy Yamamoto Pl Ste C
Lynwood, CA 90262-4031

Phone 323-242-5000

Mailing address

11705 Deputy Yamamoto Pl Ste C
Lynwood, CA 90262-4031

Phone 323-242-5000

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Other Student in an Organized Health Care Education/Training Program providers in Lynwood, CA

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