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NPI Code Detail

MEDICARE: ROSITA PAMINTUAN QUEZON

MEDICARE:   ROSITA PAMINTUAN QUEZON
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
13747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1831832054
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSITA PAMINTUAN QUEZON
Provider Business Mailing Address
First Line : 3360 E 64TH ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-2802
Country : US
Telephone Number : 562-606-2258
Fax Number :
Provider Business Practice Location Address
First Line : 3360 E 64TH ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-2802
Country : US
Telephone Number : 562-606-2258
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2022
Last Update Date : 04/15/2022

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Directions to “ ROSITA PAMINTUAN QUEZON ” Practice Location

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