Provider Demographics
NPI:1851015440
Name:QUALITY FIRST SUPPORT GROUP OF CA
Entity type:Organization
Organization Name:QUALITY FIRST SUPPORT GROUP OF CA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-853-9434
Mailing Address - Street 1:15335 MORRISON ST STE 3018
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-1513
Mailing Address - Country:US
Mailing Address - Phone:888-853-9434
Mailing Address - Fax:609-543-2413
Practice Address - Street 1:15335 MORRISON ST STE 3018
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-1513
Practice Address - Country:US
Practice Address - Phone:888-853-9434
Practice Address - Fax:609-543-2413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-28
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management