| Rubencio Quintana, M.d. Inc. | |
|
8500 Wilshire Blvd Suite 605 Beverly Hills CA 90211-3121 | |
| (310) 659-5500 | |
| (310) 652-1998 |
| Full Name | Rubencio Quintana, M.d. Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 8500 Wilshire Blvd, Beverly Hills, California |
| Authorized Official Name and Position | Rubencio Quintana (OWNER) |
| Authorized Official Contact | 3106595500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rubencio Quintana, M.d. Inc. 8500 Wilshire Blvd Suite 605 Beverly Hills CA 90211-3121 Ph: (310) 659-5500 | Rubencio Quintana, M.d. Inc. 8500 Wilshire Blvd Suite 605 Beverly Hills CA 90211-3121 Ph: (310) 659-5500 |
| NPI Number | 1629197439 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 09/27/2020 |
| Medicare PECOS PAC ID | 3072773464 |
|---|---|
| Medicare Enrollment ID | O20120321000805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629197439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | G77939 (California) | Primary |
| Provider Name | Rubencio Quintana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053353953 PECOS PAC ID: 1850567702 Enrollment ID: I20120321000819 |
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