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NPI Code Detail

MEDICARE: QUALITY HEALTH PARTNERS IMAGING CALIFORNIA A PROFESSIONAL CORPORAT

MEDICARE: QUALITY HEALTH PARTNERS IMAGING CALIFORNIA A PROFESSIONAL CORPORAT
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
1261QR0207XMobile Mammography Clinic/Center

General Provider Information

NPI Number : 1619772696
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUALITY HEALTH PARTNERS IMAGING CALIFORNIA A PROFESSIONAL CORPORAT
Provider Business Mailing Address
First Line : 210 N TUSTIN AVE
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-3807
Country : US
Telephone Number : 888-959-5192
Fax Number :
Provider Business Practice Location Address
First Line : 210 N TUSTIN AVE
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-3807
Country : US
Telephone Number : 888-959-5192
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : THERESA HENRY
Credential :
Telephone Number : 888-959-5192
Provider Enumeration Date : 02/14/2025
Last Update Date : 06/10/2025

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