Basic Information
| Provider Information | |||||||||
| NPI: | 1811062755 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | QUIJANO | ||||||||
| FirstName: | CLAUDIA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 240 SHOTWELL ST | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941101323 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4155521013 | ||||||||
| FaxNumber: | 4154313178 | ||||||||
| Practice Location | |||||||||
| Address1: | 240 SHOTWELL ST | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941101323 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4155521013 | ||||||||
| FaxNumber: | 4154313178 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/22/2006 | ||||||||
| LastUpdateDate: | 01/17/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | A50918 | CA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.