MEDICARE: QUICLINICS MEDICAL PARTNERS

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
1	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1922876291
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUICLINICS MEDICAL PARTNERS

Provider Business Mailing Address
First Line	:	5319 UNIVERSITY DR STE 232
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92612-2965
Country	:	US
Telephone Number	:	949-786-2004
Fax Number	:

Provider Business Practice Location Address
First Line	:	3560 FAIRMOUNT AVE STE B
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92105-3420
Country	:	US
Telephone Number	:	949-786-2004
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. JAY FRANCIS LAMOTHE JR.
Credential	:	ED
Telephone Number	:	949-786-2004

Provider Enumeration Date	:	12/18/2023
Last Update Date	:	12/18/2023

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