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NPI Code Detail

MEDICARE: MRS. FABIOLA JASMINE QUIJANO BELLINGER LCSW, MSW, CADC II

MEDICARE: MRS. FABIOLA JASMINE QUIJANO BELLINGER LCSW, MSW, CADC II
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
1390200000XStudent in an Organized Health Care Education/Training Program
21041C0700XClinical Social WorkerLCSW136313CA
3101YA0400XAddiction (Substance Use Disorder) Counselor
4101YA0400XAddiction (Substance Use Disorder) CounselorAII057100518CA

General Provider Information

NPI Number : 1710399639
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. FABIOLA JASMINE QUIJANO BELLINGER LCSW, MSW, CADC II
Provider Business Mailing Address
First Line : 1100 SPORTFISHER DR
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-2550
Country : US
Telephone Number : 760-439-6702
Fax Number :
Provider Business Practice Location Address
First Line : 1100 SPORTFISHER DR
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-2550
Country : US
Telephone Number : 760-439-6702
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2014
Last Update Date : 01/25/2026

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