Organization
QUICLINICS MEDICAL PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY FRANCIS LAMOTHE (EXECUTIVE DIRECTOR)
(949) 786-2004
Entity
Organization
Contact information
Practice address
330 N D ST STE 306, SAN BERNARDINO, CA 92401-1545
(949) 786-2004
Mailing address
5319 UNIVERSITY DR STE 232, IRVINE, CA 92612-2965
(949) 786-2004
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6904043
—
CA
Enumeration date
10/17/2022
Last updated
10/17/2022
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