Healthcare Provider Details

I. General information

NPI: 1922947126
Provider Name (Legal Business Name): DARNISHA QUINONEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1455 W PARK AVE
REDLANDS CA
92373-8178
US

IV. Provider business mailing address

17851 FAIRBURN ST
HESPERIA CA
92345-7361
US

V. Phone/Fax

Practice location:
  • Phone: 909-793-2225
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License Number15154
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: