Individual
EARL QUIJADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11406 LOMA LINDA DR, SUITE 300, LOMA LINDA, CA 92354-3711
(909) 558-6277
Mailing address
54701 FILE NUMBER, LOS ANGELES, CA 90074-0001
(909) 558-3111
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A60997
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A609970
—
CA
Enumeration date
07/03/2006
Last updated
12/02/2021
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