# QUALITY MEDICAL CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780288753
- **Authorized official:** JASON YISU PARK DPT (CEO/ PRESIDENT)
- **Authorized official phone:** (720) 240-1805

## Contact information

- **Practice address:** 3604 GALLEY RD STE 201, COLORADO SPRINGS, CO 80909-4301
- **Practice address phone:** (719) 638-4548
- **Mailing address:** 3604 GALLEY RD STE 201, COLORADO SPRINGS, CO 80909-4301
- **Mailing address phone:** (719) 638-4548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 11/30/2020
- **Last updated:** 02/17/2022