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NPI Code Detail

MEDICARE: ASHLEY QUINTANAR

MEDICARE: ASHLEY QUINTANAR
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
1101Y00000XCounselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902463888
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY QUINTANAR
Provider Business Mailing Address
First Line : 5421 BLUE SAPPHIRE WAY
Second Line :
City : ELK GROVE
State : CA
Zip : 95758-5625
Country : US
Telephone Number : 916-243-5532
Fax Number :
Provider Business Practice Location Address
First Line : 5421 BLUE SAPPHIRE WAY
Second Line :
City : ELK GROVE
State : CA
Zip : 95758-5625
Country : US
Telephone Number : 916-243-5532
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2019
Last Update Date : 03/04/2026

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Directions to “ ASHLEY QUINTANAR ” Practice Location

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