MR. CONRADO OLALIA QUEMUEL


Address: 242 Preble Dr, Tustin, CA 92780-3720
Phone: 7144741149

MR. CONRADO OLALIA QUEMUEL (NPI# 1568968899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568968899
Entity Type Individual
Full Name MR. CONRADO OLALIA QUEMUEL
Credential CRT
Practice Address 242 Preble Dr
Tustin
CA 92780-3720
Mailing Address 1851 E 1st St Ste 900
Santa Ana
CA 92705-4066
Practice Telephone 7144741149
Mailing Telephone 7144741149
Enumeration Date 2018-04-04
Last Update Date 2018-06-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2471C3402X Radiologic Technologist
Specialization: Radiography
RHF00097408 CA Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA STATE OF CALIFORNIA RADIOLOGIC TECHNOLOGIST LICENSE RHF00097408 01

Office Location

Street Address 242 PREBLE DR
City TUSTIN
State CA
Zip Code 92780-3720

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437780947 John Michael Michael Pharmacist 14481 Wildeve Ln, Tustin, CA 92780 2020-02-03
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1255814711 Hyun Dong Lee Chiropractor 14591 Newport Ave Ste 106, Tustin, CA 92780 2018-09-11
1346733573 Elizabeth Kim Nguyen Dds Inc Clinic/Center 14521 Red Hill Ave, Tustin, CA 92780 2018-06-12
1255829503 Hw Physical Therapy Physical Therapist 250 El Camino Real Ste 100, Tustin, CA 92780 2018-04-23
1912494352 Gary Wayne Mcbeath Marriage & Family Therapist 17821 E 17th Street, Suite # 260, Tustin, CA 92780 2018-04-20
1104334598 Catherine Bogues Speech-Language Pathologist 661 West 1st Street, Suite E, Tustin, CA 92780 2018-01-19
1972019941 Lighthouse Behavioral Solutions Behavioral Analyst 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 2017-12-28
1629597299 Lifecab, LLC Non-emergency Medical Transport (VAN) 13732 Newport Ave, Suite #1, Tustin, CA 92780 2017-09-14
1437606555 Tustin Speech Therapy, Inc. Speech-Language Pathologist 661 West First Street, Suite E, Tustin, CA 92780 2016-09-07
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Taxonomy Information

Taxonomy Code 2471C3402X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Radiography

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326086703 Tustin Teleradiology Medical Group Inc. Radiologic Technologist 13422 Newport Ave, Suite I, Tustin, CA 92780-3746 2006-06-04
1346288321 Thomas L Atlas Radiologic Technologist 13422 Newport Ave, Suite I, Tustin, CA 92780-3746 2006-06-03

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1861016883 Eric Robert Holmgren Radiologic Technologist 601 Duboce Ave, North Tower, Level A, San Francisco, CA 94114 2020-06-05
1831657402 Excel Imaging Radiologic Technologist 18158 Us Highway 18, Apple Valley, CA 92307-2202 2019-03-03
1073036315 United Mobile Rad LLC Radiologic Technologist 1720 E Cartagena St, Long Beach, CA 90807 2017-07-19
1134582083 Bertha Patricia Orna Radiologic Technologist 1206 E 17th St Ste 205, Santa Ana, CA 92701-2641 2016-03-29
1467825703 Jack Pavich Radiologic Technologist 9411 Sunnyside Ave, Ben Lomond, CA 95005-9345 2015-11-09
1306234703 Socal Surgical Imaging Radiologic Technologist 10755 Scripps Poway Pkwy # 709, San Diego, CA 92131-3924 2015-01-07
1013320605 Hera Nal Radiologic Technologist 406 E. Poppy St., Long Beach, CA 90805 2014-06-11
1245643279 Coastal Diagnostic Services Inc Radiologic Technologist 1010 W La Veta Ave Ste 615, Orange, CA 92868-4310 2014-06-06
1003237439 Amir Nahavandi Radiologic Technologist 6206 1/2 Nita Ave, Woodland Hills, CA 91367-7652 2014-01-03
1023445855 George Gallap Radiologic Technologist 1435 Mcfarlan St, Eureka, CA 95501-1345 2013-10-14
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Competitor

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City TUSTIN
Zip Code 92780

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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