Organization
QUALITY HEALTH CARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REUVEN FERNANDEZ SISSON M.D. (OWNER)
(626) 607-0333
Entity
Organization
Contact information
Practice address
850 S ATLANTIC BLVD STE 102, MONTEREY PARK, CA 91754-4727
(626) 607-0333
Mailing address
850 S ATLANTIC BLVD STE 102, MONTEREY PARK, CA 91754-4727
(626) 607-0333
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A31954
CA
207Q00000X
Family Medicine Physician
A85883
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225143274
INDIVIDUAL NPI
CA
01
—
A85883
MEDICAL LICENSE
CA
Enumeration date
03/19/2007
Last updated
01/04/2008
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