Organization
QSA GROUP,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZEN JAMAL M.D (MANAGER)
(949) 306-5115
Entity
Organization
Contact information
Practice address
29 PRAIRIE, IRVINE, CA 92618-8840
(949) 306-5115
(949) 825-5189
Mailing address
29 PRAIRIE, IRVINE, CA 92618-8840
(949) 306-5115
(949) 825-5189
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
A105921
CA
208M00000X
Hospitalist Physician
A110080
CA
208M00000X
Hospitalist Physician
A125541
CA
208M00000X
Hospitalist Physician
Primary
A46078
CA
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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