Organization
QUANTUM MEDICAL RADIOLOGY OF CALIFORNIA, P.C.
Active
Organization
QUANTUM MEDICAL RADIOLOGY OF CALIFORNIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE SCOTT PRETORIUS M.D. (AUTHORIZED REPRESENTATIVE)
(760) 323-6511
Entity
Organization
Contact information
Practice address
1150 N INDIAN CANYON DR, PALM SPRINGS, CA 92262-4872
(760) 323-6511
Mailing address
PO BOX 80400, CITY OF INDUSTRY, CA 91716-8400
(877) 213-4065
(770) 666-9102
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558539130
—
CA
Enumeration date
02/15/2008
Last updated
08/07/2013
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