Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | A101502 | CA |
NPI | 1902091309 |
---|---|
Provider Name | Dr. Rafael Eduardo Quinonez |
First Address | Mission Hills, CA 91345-1244 |
Second Address | Mission Hills, CA 91345-1244 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2007 |
Last Update Date | 15/04/2015 |