=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093331225
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | QUALITY OF LIFE GROUP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/23/2020
-----------------------------------------------------
Last Update Date | 11/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2618 E CORTEZ ST
-----------------------------------------------------
City | WEST COVINA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91791-2906
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 626-290-2228
-----------------------------------------------------
Fax | 626-339-8856
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2618 E CORTEZ ST
-----------------------------------------------------
City | WEST COVINA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91791-2906
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 626-290-2228
-----------------------------------------------------
Fax | 626-339-8856
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/CEO
-----------------------------------------------------
Name | DR. MIN COLE
-----------------------------------------------------
Credential | PHD
-----------------------------------------------------
Telephone | 626-290-2228
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------