Healthcare Provider Details

I. General information

NPI: 1831189034
Provider Name (Legal Business Name): MEDQUEST HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 06/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16025 ARROW HWY SUITE C
IRWINDALE CA
91706-2063
US

IV. Provider business mailing address

16025 ARROW HWY SUITE C
IRWINDALE CA
91706-2063
US

V. Phone/Fax

Practice location:
  • Phone: 626-337-6500
  • Fax: 626-337-6550
Mailing address:
  • Phone: 626-337-6500
  • Fax: 626-337-6550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number980001405
License Number StateCA

VIII. Authorized Official

Name: MR. RICHARD LEH
Title or Position: CEO
Credential:
Phone: 626-337-6500