Provider Demographics
NPI:1609075548
Name:AMOR A. QUINIO, M.D., INC.
Entity Type:Organization
Organization Name:AMOR A. QUINIO, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMOR
Authorized Official - Middle Name:AFUANG
Authorized Official - Last Name:QUINIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-581-0008
Mailing Address - Street 1:9710 19TH ST
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91737-3538
Mailing Address - Country:US
Mailing Address - Phone:909-581-0008
Mailing Address - Fax:909-581-0030
Practice Address - Street 1:9710 19TH ST
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91737-3538
Practice Address - Country:US
Practice Address - Phone:909-581-0008
Practice Address - Fax:909-581-0030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50109208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A501090Medicaid