Provider Demographics
NPI:1043379985
Name:SKIPTON, QUINT (PA-C)
Entity Type:Individual
Prefix:
First Name:QUINT
Middle Name:
Last Name:SKIPTON
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3851 KATELLA AVE
Mailing Address - Street 2:STE 105
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-3389
Mailing Address - Country:US
Mailing Address - Phone:562-799-3330
Mailing Address - Fax:562-799-3399
Practice Address - Street 1:301 W BASTANCHURY RD
Practice Address - Street 2:SUITE 210
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-3419
Practice Address - Country:US
Practice Address - Phone:714-879-9936
Practice Address - Fax:714-879-3035
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA14713363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant