Individual
MR. ANGEL ALBERT QUINTANILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACSW
Contact information
Practice address
7515 VAN NUYS BLVD, VAN NUYS, CA 91405-1949
(818) 627-3445
Mailing address
7515 VAN NUYS BLVD, VAN NUYS, CA 91405-1949
(818) 627-3424
(818) 947-4070
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
CA
1041C0700X
Clinical Social Worker
Primary
102690
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/08/2011
Last updated
06/21/2023
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