Provider Demographics
NPI:1750023487
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:CEO/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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty