Provider Demographics
NPI:1538987060
Name:QUIGG, NATHANIEL ALEXANDER
Entity type:Individual
Prefix:MR
First Name:NATHANIEL
Middle Name:ALEXANDER
Last Name:QUIGG
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:NATHANIEL
Other - Middle Name:ALEXANDER
Other - Last Name:SALGADO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:13113 LONGWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-2774
Mailing Address - Country:US
Mailing Address - Phone:562-454-9869
Mailing Address - Fax:
Practice Address - Street 1:1000 S FREMONT AVE BLDG A-10
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-8800
Practice Address - Country:US
Practice Address - Phone:562-454-9869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician