Provider Demographics
NPI:1285256438
Name:LATINO FAMILY INSTITUTE, INC.
Entity type:Organization
Organization Name:LATINO FAMILY INSTITUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:QUINTANILLA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:626-472-0123
Mailing Address - Street 1:1501 W CAMERON AVE STE 240
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-2733
Mailing Address - Country:US
Mailing Address - Phone:626-472-0123
Mailing Address - Fax:626-337-8752
Practice Address - Street 1:1501 W CAMERON AVE STE 240
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-2733
Practice Address - Country:US
Practice Address - Phone:626-472-0123
Practice Address - Fax:626-337-8752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-11
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency