Healthcare Provider Details

I. General information

NPI: 1003759978
Provider Name (Legal Business Name): JOANNA QUILALA MCMANUS DNP, MSPA, MSN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOANNA CANEDA QUILALA DNP, MSPA, MSN, NP

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19613 ALBERT AVE
CERRITOS CA
90703-7507
US

IV. Provider business mailing address

19613 ALBERT AVE
CERRITOS CA
90703-7507
US

V. Phone/Fax

Practice location:
  • Phone: 562-889-9536
  • Fax:
Mailing address:
  • Phone: 562-889-9536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95030542
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: