Jessie Orlando Quintanilla, is a
Community Health Worker based in Los Angeles, California. Jessie Orlando Quintanilla is licensed to practice in * (Not Available) (license number ) and his current practice location is
3850 Crenshaw Blvd, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(323) 751-3026.
NPI number for Jessie Orlando Quintanilla is 1386002293 and his current mailing address is 3850 Crenshaw Blvd, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386002293.
Healthcare Provider's Profile
| Full Name | Jessie Orlando Quintanilla |
|---|
| Gender | Male |
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| Speciality | Community Health Worker |
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| Location | 3850 Crenshaw Blvd, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386002293
- Provider Enumeration Date: 02/05/2016
- Last Update Date: 06/26/2023
Medical Identifiers
Medical identifiers for Jessie Orlando Quintanilla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386002293 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 98801 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessie Orlando Quintanilla is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jessie Orlando Quintanilla,
3850 Crenshaw Blvd,
Los Angeles, CA 90008-1821
Ph: (323) 751-3026 | Jessie Orlando Quintanilla,
3850 Crenshaw Blvd,
Los Angeles, CA 90008-1821
Ph: (323) 751-3026 |
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