Organization
QUANTUM HEALTHCARE MEDICAL ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL A. MENDELSON MD (PRESIDENT)
(800) 424-3672
Entity
Organization
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1000
Mailing address
1643 NW 136TH AVE STE 100, SUNRISE, FL 33323-2857
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH4064
MEDICARE RR
CA
01
—
DC7614
MEDICARE RR
CA
05
—
GR0086343
—
CA
01
—
ZZZ00239Z
BS CALIFORNIA
CA
01
—
ZZZ670892Z
BS OF CA - ST HELENA
CA
01
—
ZZZ69383Z
BS OF CA - LODI
CA
Enumeration date
06/29/2006
Last updated
07/03/2025
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