Individual
CESAR QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7177 BROCKTON AVE STE 444, RIVERSIDE, CA 92506-2635
(951) 234-7575
Mailing address
864 N MORGAN ST APT B, ORANGE, CA 92867-4513
(714) 737-1494
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
STOP FUNDED
CA
Enumeration date
02/21/2019
Last updated
02/21/2019
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