1093591182 NPI number — BRENDA JEZELL QUINONES-ANDRADE

Table of content: BRENDA JEZELL QUINONES-ANDRADE (NPI 1093591182)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093591182 NPI number — BRENDA JEZELL QUINONES-ANDRADE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
QUINONES-ANDRADE
Provider First Name:
BRENDA
Provider Middle Name:
JEZELL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093591182
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/05/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1329
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN CARLOS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94070-7329
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
650-817-9070
Provider Business Mailing Address Fax Number:
650-817-9074

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1692 EL CAMINO REAL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN CARLOS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94070-5208
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-817-9070
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/05/2023

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 172V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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