Provider Demographics
NPI:1174007082
Name:QUINCEY, STACI (RRT-NPS)
Entity Type:Individual
Prefix:MS
First Name:STACI
Middle Name:
Last Name:QUINCEY
Suffix:
Gender:F
Credentials:RRT-NPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4737 VENTANA WAY
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92057-1210
Mailing Address - Country:US
Mailing Address - Phone:623-853-6959
Mailing Address - Fax:
Practice Address - Street 1:27000 MEDICAL CENTER ROAD
Practice Address - Street 2:RESPIRATORY CARE SERVICES
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-9269
Practice Address - Country:US
Practice Address - Phone:949-364-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P3900XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredNeonatal/Pediatrics
No227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered