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NPI Code Detail

MEDICARE: QUANTUM MEDICAL RADIOLOGY OF CALIFORNIA, PC

MEDICARE: QUANTUM MEDICAL RADIOLOGY OF CALIFORNIA, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1346617339
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUANTUM MEDICAL RADIOLOGY OF CALIFORNIA, PC
Provider Business Mailing Address
First Line : PO BOX 14267
Second Line :
City : PALM DESERT
State : CA
Zip : 92255-4267
Country : US
Telephone Number : 877-213-4065
Fax Number :
Provider Business Practice Location Address
First Line : 3460 RIDGEFORD DR
Second Line :
City : WESTLAKE VILLAGE
State : CA
Zip : 91361-4818
Country : US
Telephone Number : 818-212-4127
Fax Number :
Authorized Official
Title or Position : CFO
Name : FRANCIS FERRARO
Credential : M.D.
Telephone Number : 559-455-4065
Provider Enumeration Date : 08/26/2015
Last Update Date : 08/26/2015

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