Individual
DR. KARLA DENISSE JIMENEZ QUINTANILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6386 ALVARADO CT STE 310, SAN DIEGO, CA 92120-4908
(858) 277-9550
Mailing address
6386 ALVARADO CT STE 310, SAN DIEGO, CA 92120-4908
(858) 277-9550
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY34941
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY34941
BOARD OF PSYCHOLOGY
CA
Enumeration date
09/06/2019
Last updated
05/23/2024
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