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NPI Code Detail

MEDICARE: SERGIO QUIRARTE

MEDICARE:   SERGIO  QUIRARTE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist125187CA
2106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1265829964
Entity Type Code : Individual
Provider Name (Legal Business Name) : SERGIO QUIRARTE
Provider Business Mailing Address
First Line : 14116 GLENGYLE ST
Second Line :
City : WHITTIER
State : CA
Zip : 90604-2434
Country : US
Telephone Number : 562-881-9361
Fax Number :
Provider Business Practice Location Address
First Line : 149 S MEDNIK AVE
Second Line :
City : EAST LOS ANGELES
State : CA
Zip : 90022-1606
Country : US
Telephone Number : 626-861-4389
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2015
Last Update Date : 07/22/2021

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Directions to “ SERGIO QUIRARTE ” Practice Location

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