Provider Demographics
NPI:1659385326
Name:QUIZON-GUATNO, JOSIE (NP,EDD)
Entity Type:Individual
Prefix:DR
First Name:JOSIE
Middle Name:
Last Name:QUIZON-GUATNO
Suffix:
Gender:F
Credentials:NP,EDD
Other - Prefix:
Other - First Name:JOSIE
Other - Middle Name:QUIZON
Other - Last Name:HALILI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 12311
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92039-2311
Mailing Address - Country:US
Mailing Address - Phone:858-699-5654
Mailing Address - Fax:858-552-4376
Practice Address - Street 1:3350 LA JOLLA VILLAGE DR # 112A
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92161-0002
Practice Address - Country:US
Practice Address - Phone:858-642-3093
Practice Address - Fax:858-552-4376
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP11687363LA2200X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA364SF0001XMedicare UPIN
CA364SA2200XMedicare UPIN
CA364SN0800XMedicare UPIN