Quintana, Phyllis

Quintana, Phyllis is an sole proprietor health care provider with primary practice located at 907 West 7Th St , Oxnard CA 93030. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Quintana, Phyllis can be contacted via phone (805) 487-0609.

Contact Information

Primary practice address
907 West 7Th St Oxnard CA 93030
Fax: (805) 487-8330
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5585TPA California

Profile Details

NPI number 1164536041
LBN Legal business name Quintana, Phyllis
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Dec 30th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164536041 NPPES
Other 500055850 MEDICAL
Other 6701 MEDICAL
Other 6648 MEDICAL
Other 953833691 MEDICAL
Other 6701 MEDICAL
Other 116524 MEDICAL
Other 953833691 MEDICAL
Other 953833691 MEDICAL

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