Provider Demographics
NPI:1497836068
Name:QUARNERI, PAUL JAMES (DC, DACNB)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:JAMES
Last Name:QUARNERI
Suffix:
Gender:M
Credentials:DC, DACNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 BOVET RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-3117
Mailing Address - Country:US
Mailing Address - Phone:650-375-2545
Mailing Address - Fax:650-655-6611
Practice Address - Street 1:177 BOVET RD
Practice Address - Street 2:SUITE 150
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-3116
Practice Address - Country:US
Practice Address - Phone:650-375-2545
Practice Address - Fax:650-655-6611
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24755111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0247550OtherBLUE CROSS/BLUE SHIELD
CADC0247550OtherBLUE CROSS/BLUE SHIELD