Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | A75426 | CA |
NPI | 1053416958 |
---|---|
Provider Name | Dr. Rodolfo Quintero |
First Address | West Hollywood, CA 90069-4109 |
Second Address | Glendale, CA 91206-4153 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 19/05/2020 |