Provider Demographics
NPI: | 1821622457 |
---|---|
Name: | QUARTET HEALTH GROUP INC |
Entity Type: | Organization |
Organization Name: | QUARTET HEALTH GROUP INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ARMINE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ASATRYAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 916-599-0891 |
Mailing Address - Street 1: | 10901 FOLSOM BLVD STE A |
Mailing Address - Street 2: | |
Mailing Address - City: | RANCHO CORDOVA |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 95670-5162 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 916-599-0891 |
Mailing Address - Fax: | 916-200-1385 |
Practice Address - Street 1: | 10901 FOLSOM BLVD STE A |
Practice Address - Street 2: | |
Practice Address - City: | RANCHO CORDOVA |
Practice Address - State: | CA |
Practice Address - Zip Code: | 95670-5162 |
Practice Address - Country: | US |
Practice Address - Phone: | 916-599-0891 |
Practice Address - Fax: | 916-200-1385 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-02-21 |
Last Update Date: | 2020-05-30 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | |
No | 261QR0208X | Ambulatory Health Care Facilities | Clinic/Center | Radiology, Mobile |