Carolyn N. Quetzal in Tarzana - Health Service

Carolyn N. Quetzal - NPI 1578773669

Carolyn N. Quetzal is a Health Service in Tarzana, California. Carolyn N. Quetzal practices all healthcare services and medical treatments related to Health Service. The NPI Number for Carolyn N. Quetzal is 1578773669. The last update date is 2008-07-28.

Carolyn N. Quetzal's current location address is 18340 Ventura Blvd, Tarzana, California. You can contact this provider via phone number 8187573131. The mailing address for Carolyn N. Quetzal is 18340 Ventura Blvd, Tarzana, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Carolyn N. Quetzal
Address 18340 Ventura Blvd, Tarzana, California
Phone Number 8187573131
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Quetzal N Carolyn
Credentials M.ED., D.C
Telephone Number 8187573131

NPI Number Detail

NPI Number 1578773669
Provider Enumeration Date 2007-05-23
Last Updated Date 2008-07-28

Provider Mailing Address Detail

Address 18340 Ventura Blvd
City Tarzana
State California (CA)
Post Code 913564234
Phone Number 8187573131
Fax Number

Provider's Primary Taxonomy Detail

Speciality Health Service
Taxonomy 261Qh0100X
Licence No DC26621
Definition:
Provides general outpatient medical care by physicians and other providers.

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FAQs about Carolyn N. Quetzal

What is the unique 10-digit identification code issued to Carolyn N. Quetzal by the Centers for Medicare & Medicaid Services?

The Carolyn N. Quetzal has been assigned the NPI (National Provider Identifier) 1578773669 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Carolyn N. Quetzal is physically located?

The Carolyn N. Quetzal is physically situated at the following address: 18340 Ventura Blvd, Tarzana, CA, 913564234.

What is the Carolyn N. Quetzal's specialty and taxonomy code?

The Carolyn N. Quetzal's specialty is Health Service, and the corresponding taxonomy code is 261Qh0100X.

On what date did Carolyn N. Quetzal receive its 1578773669 assignment from the Centers for Medicare & Medicaid Services?

The Carolyn N. Quetzal was assigned its 1578773669 on 2007-05-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Carolyn N. Quetzal, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Carolyn N. Quetzal, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-07-28.

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