Doctor Name: | GABRIEL PAUL QUINTANILLA |
NPI Number: | 1447432729 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 9524 Kearny Villa Rd Ste 107 San Diego, CA - 921264582 |
Business Phone Number: | 8007587571 |
Business Fax Number: | 8006999818 |
Mailing Address: | 27349 Jefferson Ave Ste 100, TEMECULA |
State: | CA |
Postal Code: | 925905611 |
Phone Number: | 9516992451 |
Fax Number: | 9516992453 |
NPI Enumeration Date: | 11/29/2007 |
NPI Last Update Date: | 09/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |