MEDICARE: LATINO FAMILY INSTITUTE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253J00000X	Foster Care Agency

General Provider Information

NPI Number	:	1285256438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LATINO FAMILY INSTITUTE, INC.

Provider Business Mailing Address
First Line	:	1501 W CAMERON AVE STE 240
Second Line	:
City	:	WEST COVINA
State	:	CA
Zip	:	91790-2733
Country	:	US
Telephone Number	:	626-472-0123
Fax Number	:	626-337-8752

Provider Business Practice Location Address
First Line	:	1501 W CAMERON AVE STE 240
Second Line	:
City	:	WEST COVINA
State	:	CA
Zip	:	91790-2733
Country	:	US
Telephone Number	:	626-472-0123
Fax Number	:	626-337-8752

Authorized Official
Title or Position	:	FOUNDER & CEO
Name	:	MRS. MARIA L. QUINTANILLA
Credential	:	LCSW
Telephone Number	:	626-472-0123

Provider Enumeration Date	:	05/11/2020
Last Update Date	:	05/11/2020

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