MEDICARE: Q & Y HEALTHCARE INC

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	363L00000X	Nurse Practitioner
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1972367308
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	Q & Y HEALTHCARE INC

Provider Business Mailing Address
First Line	:	3583 HAWTHORNE DR
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92881-8480
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3583 HAWTHORNE DR
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92881-8480
Country	:	US
Telephone Number	:	951-818-2623
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	QAIS AYOUBY
Credential	:	MD
Telephone Number	:	951-818-2623

Provider Enumeration Date	:	02/07/2024
Last Update Date	:	02/07/2024

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Directions to “Q & Y HEALTHCARE INC ” Practice Location

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