Provider Demographics
NPI:1548458870
Name:QUINN, WILLIAM J (PA-C)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:J
Last Name:QUINN
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:24355 LYONS AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91321-2300
Mailing Address - Country:US
Mailing Address - Phone:661-255-9440
Mailing Address - Fax:661-255-7591
Practice Address - Street 1:24355 LYONS AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91321-2300
Practice Address - Country:US
Practice Address - Phone:661-255-9440
Practice Address - Fax:661-255-7591
Is Sole Proprietor?:No
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA15485363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant