Quiceno, Michael

Quiceno, Michael is an individual health care provider with primary practice located at 81800 Doctor Carreon Blvd Ste B , Indio CA 92201-5595. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Quiceno, Michael can be contacted via phone (760) 647-7676.

Contact Information

Primary practice address
81800 Doctor Carreon Blvd Ste B Indio CA 92201-5595
Phone: (760) 647-7676
Fax: (760) 347-0909
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95011137 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95011137 California

Profile Details

NPI number 1720545858
LBN Legal business name Quiceno, Michael
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2019
Last updated Mar 4th, 2026 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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