Provider Demographics
NPI:1174934723
Name:QUINTERO, DELIA (BA)
Entity type:Individual
Prefix:MRS
First Name:DELIA
Middle Name:
Last Name:QUINTERO
Suffix:
Gender:F
Credentials:BA
Other - Prefix:MRS
Other - First Name:DELIA
Other - Middle Name:
Other - Last Name:ARREOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2050 E GREENHAVEN ST
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91724-1826
Mailing Address - Country:US
Mailing Address - Phone:323-547-3782
Mailing Address - Fax:
Practice Address - Street 1:10428 LOWER AZUSA RD
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-1208
Practice Address - Country:US
Practice Address - Phone:626-453-3399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator