Individual
DIANNE ELIZABETH QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2680 E RIVERSIDE DR, ONTARIO, CA 91761
(909) 469-9013
(909) 469-9014
Mailing address
2680 E RIVERSIDE DR, ONTARIO, CA 91761-7307
(909) 469-9013
(909) 469-9014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A132214
CA
208000000X
Pediatrics Physician
A132214
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DQ3232267556
DQ3232267556
CA
Enumeration date
06/18/2013
Last updated
10/08/2019
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