Healthcare Provider Details

I. General information

NPI: 1386995710
Provider Name (Legal Business Name): QUALITY MEDICAL OPTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2012
Last Update Date: 09/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7218 VAN NUYS BLVD D
VAN NUYS CA
91405-6800
US

IV. Provider business mailing address

7218 VAN NUYS BLVD D
VAN NUYS CA
91405-6800
US

V. Phone/Fax

Practice location:
  • Phone: 818-997-7575
  • Fax: 818-997-7577
Mailing address:
  • Phone: 818-997-7575
  • Fax: 818-997-7577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DENISE DURAN
Title or Position: OFFICE MANAGER
Credential:
Phone: 323-385-1811