Individual
JADE QUIJANO DE GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(619) 543-2218
Mailing address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(619) 543-2218
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A102678
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1026780
—
CA
Enumeration date
08/21/2007
Last updated
04/02/2012
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