Provider Demographics
NPI:1114626066
Name:QUANTUM HEALTHCARE CONSULTING LLC
Entity Type:Organization
Organization Name:QUANTUM HEALTHCARE CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANOUSH
Authorized Official - Middle Name:
Authorized Official - Last Name:KETSOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-522-3555
Mailing Address - Street 1:2415 LOS AMIGOS ST
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-3032
Mailing Address - Country:US
Mailing Address - Phone:818-522-3555
Mailing Address - Fax:
Practice Address - Street 1:2415 LOS AMIGOS ST
Practice Address - Street 2:
Practice Address - City:LA CRESCENTA
Practice Address - State:CA
Practice Address - Zip Code:91214-3032
Practice Address - Country:US
Practice Address - Phone:818-522-3555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)