Individual
AL JOSE QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
900 E WASHINGTON ST, SUITE 200, COLTON, CA 92324-7111
(909) 882-5867
(909) 503-1913
Mailing address
399 E 21ST ST, SAN BERNARDINO, CA 92404-4815
(909) 882-2266
(909) 881-7593
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA20123
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA20123
CA LICENSE
CA
Enumeration date
01/08/2009
Last updated
10/27/2023
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