Quantumv Medical Group, Inc. | |
46 Shattuck Sq Ste 16 Berkeley CA 94704-1154 | |
(650) 294-8451 | |
Not Available |
Full Name | Quantumv Medical Group, Inc. |
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Speciality | Family Medicine |
Location | 46 Shattuck Sq Ste 16, Berkeley, California |
Authorized Official Name and Position | Brent Katsumi Sugimoto (PRESIDENT & CEO) |
Authorized Official Contact | 6502948451 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Quantumv Medical Group, Inc. 46 Shattuck Sq Ste 16 Berkeley CA 94704-1154 Ph: (650) 294-8451 | Quantumv Medical Group, Inc. 46 Shattuck Sq Ste 16 Berkeley CA 94704-1154 Ph: (650) 294-8451 |
NPI Number | 1588213458 |
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Provider Enumeration Date | 09/04/2019 |
Last Update Date | 09/04/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588213458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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