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Contact Information

QUANTOM-LEAP, INC.
22368 SOUTH 6TH STREET
DOS PALOS, CA93665
 Phone: 559-244-1789
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for QUANTOM-LEAP, INC.

NPI Number 1215007695
LBN Legal business name QUANTOM-LEAP, INC.
Authorized official CARMEN MARONEY - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/09/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA Other 24004AP MEDI-CAL PROVIDER NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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