Susan De Jesus Quilalang in San Ysidro - Nurse Practitioner
Susan De Jesus Quilalang - NPI 1841200482
Susan De Jesus Quilalang is a Nurse Practitioner in San Ysidro, California. Susan De Jesus Quilalang practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Susan De Jesus Quilalang is 1841200482. The last update date is 2022-05-02.
Susan De Jesus Quilalang's current location address is 1601 Precision Park Ln, San Ysidro, California. You can contact this provider via phone number 6196624100 and fax number 6194282625. The mailing address for Susan De Jesus Quilalang is 1601 Precision Park Ln, San Ysidro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan De Jesus Quilalang |
|---|---|
| Address | 1601 Precision Park Ln, San Ysidro, California |
| Phone Number | 6196624100 |
| Fax Number | 6194282625 |
| Sole Proprietor | N |
| Credentials | NP RN |
NPI Number Detail
| NPI Number | 1841200482 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2022-05-02 |
Provider Mailing Address Detail
| Address | 1601 Precision Park Ln |
|---|---|
| City | San Ysidro |
| State | California (CA) |
| Post Code | 921731345 |
| Phone Number | 6196624100 |
| Fax Number | 6194282625 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 5579 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| FHC11992H | MEDI-CAL |
Post Comment/ Review Below
What is the Susan De Jesus Quilalang's 1841200482?
The Susan De Jesus Quilalang's NPI (National Provider Identifier) Number is 1841200482. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Susan De Jesus Quilalang is located?
The Susan De Jesus Quilalang is situated at the following address: 1601 Precision Park Ln, San Ysidro, CA, 921731345.
What is Susan De Jesus Quilalang's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susan De Jesus Quilalang is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1841200482 to Susan De Jesus Quilalang?
The Centers for Medicare & Medicaid Services originally issued the 1841200482 to Susan De Jesus Quilalang on 2006-08-08.
When was the Susan De Jesus Quilalang's information last updated?
The Susan De Jesus Quilalang's information was last updated on 2022-05-02.