Healthcare Provider Details

I. General information

NPI: 1689926016
Provider Name (Legal Business Name): LORENA QUINTERO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2012
Last Update Date: 04/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9101 WHITTIER BLVD
PICO RIVERA CA
90660-2405
US

IV. Provider business mailing address

11207 NEWCOMB AVE
WHITTIER CA
90603-3230
US

V. Phone/Fax

Practice location:
  • Phone: 562-801-4626
  • Fax: 562-801-4630
Mailing address:
  • Phone: 562-266-6147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number76270
License Number StateCA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: