| R & L Quest Llc | |
|
2181 S El Camino Real Ste 202 Oceanside CA 92054-6267 | |
| (619) 616-0706 | |
| Not Available |
| Full Name | R & L Quest Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2181 S El Camino Real Ste 202, Oceanside, California |
| Authorized Official Name and Position | Rudolph Wietfeldt (PRESIDENT) |
| Authorized Official Contact | 6196160706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R & L Quest Llc 4009 Elsie St Spring Hill TN 37174-8304 Ph: (619) 616-0706 | R & L Quest Llc 2181 S El Camino Real Ste 202 Oceanside CA 92054-6267 Ph: (619) 616-0706 |
| NPI Number | 1891475059 |
|---|---|
| Provider Enumeration Date | 07/24/2023 |
| Last Update Date | 07/24/2023 |
| Certification Date | 07/21/2023 |
| Medicare PECOS PAC ID | 0143682328 |
|---|---|
| Medicare Enrollment ID | O20230821001207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891475059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Rudolph Wietfeldt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245618032 PECOS PAC ID: 9032587910 Enrollment ID: I20231016000495 |
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