Nicholas Christian Quintanar, MA MFT | |
9961 Sierra Ave, Fontana, CA 92335-6720 | |
(909) 427-5313 | |
Not Available |
Full Name | Nicholas Christian Quintanar |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 9961 Sierra Ave, Fontana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497053938 | NPI | - | NPPES |
363662 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Christian Quintanar, MA MFT 6928 Fontaine Pl, Rancho Cucamonga, CA 91739-1674 Ph: (909) 437-3010 | Nicholas Christian Quintanar, MA MFT 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-5313 |
Renee Marriott, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 15217 San Bernardino Ave, Fontana, CA 92335 Phone: 909-347-1671 | |
Mr. Mauricio Ramirez, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7993 Sierra Ave Ste F, Fontana, CA 92336 Phone: 909-822-3533 | |
Ms. Monica Yvonne Wayne, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8485 Tamarind Ave, Fontana, CA 92335 Phone: 909-428-2366 Fax: 909-428-2363 | |
Mrs. Michelle Galarza Martinez, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9310 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3746 | |
Amira Dawood, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5156 St Albert Dr, Fontana, CA 92336 Phone: 714-851-5345 | |
Pamela Burney, Couples Therapy Medicare: Medicare Enrolled Practice Location: 15213 Willow Wood Ln, Fontana, CA 92336 Phone: 909-730-8974 | |
Krystalynn Lois Williams, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11195 Daylilly St, Fontana, CA 92337 Phone: 951-609-5099 |