Organization
QUALITY MEDICAL FOR HOPE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD R PETERSON II MD (CEO)
(916) 784-1050
Entity
Organization
Contact information
Practice address
151 N SUNRISE AVE, SUITE 611, ROSEVILLE, CA 95661-2924
(916) 784-1050
(916) 784-1989
Mailing address
PO BOX 460, ROSEVILLE, CA 95678-0460
(916) 784-1050
(916) 784-1989
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
G22928
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G229280
—
CA
Enumeration date
03/05/2015
Last updated
03/05/2015
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