Individual
DR. QUINN MARTIN FAURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
18433 ROSCOE BLVD STE 214, NORTHRIDGE, CA 91325-4123
(818) 623-4455
(818) 985-0055
Mailing address
18433 ROSCOE BLVD STE 214, NORTHRIDGE, CA 91325-4123
(818) 623-4455
(818) 985-0055
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4140
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GRE001960
—
CA
Enumeration date
11/02/2006
Last updated
09/02/2022
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