Provider Demographics
NPI:1336303494
Name:RUDY QUINTERO, MD INC.
Entity Type:Organization
Organization Name:RUDY QUINTERO, MD INC.
Other - Org Name:C.A.R.E. FERTILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RODOLFO
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINTERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-230-7778
Mailing Address - Street 1:600 N. MOUNTAIN AVE
Mailing Address - Street 2:SUITE A202
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786
Mailing Address - Country:US
Mailing Address - Phone:818-230-7778
Mailing Address - Fax:323-297-2883
Practice Address - Street 1:600 N MOUNTAIN AVE
Practice Address - Street 2:SUITE A202
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4359
Practice Address - Country:US
Practice Address - Phone:818-230-7778
Practice Address - Fax:323-297-2883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA75426207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty