Provider Demographics
NPI:1861994600
Name:HEALTHQUEST ESOTERICS INC
Entity type:Organization
Organization Name:HEALTHQUEST ESOTERICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:GIANCURSIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-242-2260
Mailing Address - Street 1:6 BENDIX
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2006
Mailing Address - Country:US
Mailing Address - Phone:949-242-2260
Mailing Address - Fax:888-696-6799
Practice Address - Street 1:8 HUGHES STE 100
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-2075
Practice Address - Country:US
Practice Address - Phone:949-242-2260
Practice Address - Fax:888-696-6799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-07
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory