MEDICARE: NQ HEALTH PHYSICIANS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1740142454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NQ HEALTH PHYSICIANS

Provider Business Mailing Address
First Line	:	14435 HAMLIN ST STE 108
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91401-6205
Country	:	US
Telephone Number	:	818-997-7117
Fax Number	:	818-997-0117

Provider Business Practice Location Address
First Line	:	14435 HAMLIN ST STE 108
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91401-6205
Country	:	US
Telephone Number	:	818-997-7117
Fax Number	:	818-997-0117

Authorized Official
Title or Position	:	CEO
Name	:	ELYSS SAPON
Credential	:
Telephone Number	:	818-997-7117

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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Directions to “NQ HEALTH PHYSICIANS ” Practice Location

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