Individual
LARRY LOUIE QUINTANAR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
625 FAIR OAKS AVE STE 125 & 300, SOUTH PASADENA, CA 91030-2688
(626) 441-4221
Mailing address
625 FAIR OAKS AVE STE 125 & 300, SOUTH PASADENA, CA 91030-2688
(626) 441-4221
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
LPT43089
CA
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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