Healthcare Provider Details

I. General information

NPI: 1447371372
Provider Name (Legal Business Name): QUINTON C JAMES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

439 S. 97TH STREET
LOS ANGELES CA
90003
US

IV. Provider business mailing address

4102 S CLOVERDALE AVE
LOS ANGELES CA
90008-1035
US

V. Phone/Fax

Practice location:
  • Phone: 323-754-2856
  • Fax: 323-754-1843
Mailing address:
  • Phone: 323-293-0386
  • Fax: 323-292-6953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberG7871
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: