Provider Demographics
NPI:1245791490
Name:QUEST HEALTH MANAGEMENT PSYCHOLOGICAL CORPORATION
Entity Type:Organization
Organization Name:QUEST HEALTH MANAGEMENT PSYCHOLOGICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TSEDAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ABERRA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:951-454-5577
Mailing Address - Street 1:4110 EDISON AVE STE 206A
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-8417
Mailing Address - Country:US
Mailing Address - Phone:951-454-5577
Mailing Address - Fax:
Practice Address - Street 1:4110 EDISON AVE STE 206A
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-8417
Practice Address - Country:US
Practice Address - Phone:951-454-5577
Practice Address - Fax:951-599-7511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-29
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherPRIVATE INSURANCE