Individual
MICHAEL QUACINELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4060 FOURTH AVE STE 630, SAN DIEGO, CA 92103-2118
(619) 299-3950
Mailing address
4060 FOURTH AVE STE 630, SAN DIEGO, CA 92103-2118
(619) 299-3950
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20A14499
CA
207XX0801X
Orthopaedic Trauma Physician
20A14499
CA
207XX0801X
Orthopaedic Trauma Physician
5113
TN
Other
Enumeration date
06/05/2014
Last updated
10/09/2023
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