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QUANTUM HEALING MEDICAL CENTER INC NPI 1043697881


NPI Information

NPI: 1043697881
Provider Name: QUANTUM HEALING MEDICAL CENTER INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1010 S ROBERTSON BLVD
A
LOS ANGELES, CA
ZIP 90035
Phone: (424) 302-0261
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QUANTUM HEALING MEDICAL CENTER INC is a general practice in Los Angeles, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee QUANTUM HEALING MEDICAL CENTER INC NPI is 1043697881. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1010 S ROBERTSON BLVD
A
LOS ANGELES, CA
ZIP 90035-527
Phone: (424) 302-0261
Fax: (424) 302-0745

The provider's authorized official is Fred Garcia .
The authorized official title is President and has the following contact phone number (424) 302-0261.

The enumeration date for this NPI number is 4/30/2015 and was last updated on 4/30/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeA24259CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A24259MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.