Crystal Quintero-ahumada, is a
Student In An Organized Health Care Education/training Program based in La Jolla, California. Crystal Quintero-ahumada is licensed to practice in * (Not Available) (license number ) and her current practice location is
9500 Gilman Drive, Mail Code 0602, La Jolla, California. She can be reached at her office (for appointments etc.) via phone at
(858) 534-2230.
NPI number for Crystal Quintero-ahumada is 1063359024 and her current mailing address is 3739 Miramar St, Box 4029, La Jolla, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063359024.
Provider's Profile
| Full Name | Crystal Quintero-ahumada |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 9500 Gilman Drive, La Jolla, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1063359024
- Provider Enumeration Date: 04/29/2026
- Last Update Date: 04/29/2026
Medical Identifiers
Medical identifiers for Crystal Quintero-ahumada such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063359024 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Quintero-ahumada is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Crystal Quintero-ahumada,
3739 Miramar St, Box 4029,
La Jolla, CA 92037-1345
Ph: (831) 710-0814 | Crystal Quintero-ahumada,
9500 Gilman Drive, Mail Code 0602,
La Jolla, CA 92093-0001
Ph: (858) 534-2230 |
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