Healthcare Provider Details

I. General information

NPI: 1760397806
Provider Name (Legal Business Name): DIANA QUINTINO-CARBAJAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6327 ZEPHYR LN
BAKERSFIELD CA
93307-3180
US

IV. Provider business mailing address

6327 ZEPHYR LN
BAKERSFIELD CA
93307-3180
US

V. Phone/Fax

Practice location:
  • Phone: 661-366-0024
  • Fax:
Mailing address:
  • Phone: 661-366-0024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number230133462
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: