Healthcare Provider Details

I. General information

NPI: 1629927165
Provider Name (Legal Business Name): QHC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 VIA RAVENNA
NEWPORT BEACH CA
92663-5507
US

IV. Provider business mailing address

103 VIA RAVENNA
NEWPORT BEACH CA
92663-5507
US

V. Phone/Fax

Practice location:
  • Phone: 949-701-6477
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: BRENT CHAPPELL
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 949-701-6477