Healthcare Provider Details

I. General information

NPI: 1164973335
Provider Name (Legal Business Name): QTBIZ INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2016
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 W 1ST ST STE A
SANTA ANA CA
92703-3626
US

IV. Provider business mailing address

1605 W 1ST ST STE A
SANTA ANA CA
92703-3626
US

V. Phone/Fax

Practice location:
  • Phone: 714-724-0191
  • Fax:
Mailing address:
  • Phone: 714-486-3708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number55296
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DON BUI
Title or Position: OWNER/CEO
Credential:
Phone: 714-337-7369