Organization
RAFAEL O QUINONEZ MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL O QUINONEZ M.D. (OWNER)
(818) 361-5069
Entity
Organization
Contact information
Practice address
11550 INDIAN HILLS RD, SUITE 381, MISSION HILLS, CA 91345-1200
(818) 361-5069
(818) 837-3411
Mailing address
11550 INDIAN HILLS RD, SUITE 381, MISSION HILLS, CA 91345-1200
(818) 361-5069
(818) 837-3411
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
C41518
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C415180
—
CA
Enumeration date
08/19/2011
Last updated
08/19/2011
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