Provider Demographics
NPI:1487723417
Name:QUALITY MEDICAL ENTERPRISES INC.
Entity type:Organization
Organization Name:QUALITY MEDICAL ENTERPRISES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BENJAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:619-888-7173
Mailing Address - Street 1:909 WINDFLOWER WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92106-2975
Mailing Address - Country:US
Mailing Address - Phone:619-888-7173
Mailing Address - Fax:619-224-0149
Practice Address - Street 1:3760 SPORTS ARENA BLVD STE 1
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-5134
Practice Address - Country:US
Practice Address - Phone:619-223-5000
Practice Address - Fax:619-223-3047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPENDING332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies