Quantum Health Medical Group Inc

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

36917 Issued in CA

Legal business name

QUANTUM HEALTH MEDICAL GROUP INC

Practice address

12430 Viarna St
Cerritos, CA 90703-7731

Phone

(562) 547-9479

NPI assigned

Mar 27, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leonardo Perez, PA-C

Title

President

Phone

(562) 547-9479

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1922270180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13337 SOUTH ST",
            "address_2": "#595",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037308",
            "telephone_number": "562-547-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12430 VIARNA ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037731",
            "telephone_number": "562-547-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM HEALTH MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-547-9479",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "36917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.