Individual
MR. THOMAS A QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
784 HIGH ST, SAN LUIS OBISPO, CA 93401-5243
(805) 540-6500
Mailing address
277 SOUTH ST, SUITE Y, SAN LUIS OBISPO, CA 93401-5039
(805) 541-5144
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
31552
CA
Other
Enumeration date
02/20/2007
Last updated
05/30/2025
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