Healthcare Provider Details

I. General information

NPI: 1972367308
Provider Name (Legal Business Name): Q & Y HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2024
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3583 HAWTHORNE DR
CORONA CA
92881-8480
US

IV. Provider business mailing address

3583 HAWTHORNE DR
CORONA CA
92881-8480
US

V. Phone/Fax

Practice location:
  • Phone: 951-818-2623
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: QAIS AYOUBY
Title or Position: CEO
Credential: MD
Phone: 951-818-2623