Quantom-leap, Inc. | |
22368 South 6th Street Dos Palos CA 93665 | |
(559) 244-1789 | |
Not Available |
Full Name | Quantom-leap, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 22368 South 6th Street, Dos Palos, California |
Authorized Official Name and Position | Carmen Maroney (ADMINISTRATOR) |
Authorized Official Contact | 5592441789 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Quantom-leap, Inc. 7299 N Channing Way Fresno CA 93711-0487 Ph: () - | Quantom-leap, Inc. 22368 South 6th Street Dos Palos CA 93665 Ph: (559) 244-1789 |
NPI Number | 1215007695 |
---|---|
Provider Enumeration Date | 11/09/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215007695 | NPI | - | NPPES |
24004AP | Other | CA | MEDI-CAL PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |