Organization
LOVINGLY QUITANIA PARK, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOVINGLY QUITANIA PARK PHD (NEUROPSYCHOLOGIST)
(818) 800-8697
Entity
Organization
Contact information
Practice address
1560 E CHEVY CHASE DR, GLENDALE, CA 91206-4197
(818) 800-8697
Mailing address
PO BOX 1292, LA CANADA, CA 91012-5292
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY25525
CA
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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