Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A162401 | CA |
Y | 111NI0900X | Internist | A162401 | CA |
N | 207RI0200X | Infectious Disease | A162401 | CA |
NPI | 1043624703 |
---|---|
Provider Name | Orlando Quintero Cardona |
First Address | Stanford, CA 94305-2200 |
Second Address | Stanford, CA 94305-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2014 |
Last Update Date | 08/06/2021 |