Provider Demographics
NPI:1386995710
Name:QUALITY MEDICAL OPTIONS INC
Entity type:Organization
Organization Name:QUALITY MEDICAL OPTIONS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:DURAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-385-1811
Mailing Address - Street 1:7218 VAN NUYS BLVD
Mailing Address - Street 2:D
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-6800
Mailing Address - Country:US
Mailing Address - Phone:818-997-7575
Mailing Address - Fax:818-997-7577
Practice Address - Street 1:7218 VAN NUYS BLVD
Practice Address - Street 2:D
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-6800
Practice Address - Country:US
Practice Address - Phone:818-997-7575
Practice Address - Fax:818-997-7577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care