Provider Demographics
NPI:1750145926
Name:YSAIS, DENISE QUINTANAR
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:QUINTANAR
Last Name:YSAIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7918 EL CAJON BLVD # N430
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-6719
Mailing Address - Country:US
Mailing Address - Phone:619-228-3584
Mailing Address - Fax:
Practice Address - Street 1:7918 EL CAJON BLVD # N430
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-6719
Practice Address - Country:US
Practice Address - Phone:619-228-3584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator