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Organization
VIET D. TA, MD & TIFFANY L. QUAN, MD MEDICAL ASSOCIATES INC.
Active
Organization
VIET D. TA, MD & TIFFANY L. QUAN, MD MEDICAL ASSOCIATES INC.
Active
Other names
Foothill Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIET DUY TA M.D. (PRESIDENT)
(909) 484-4900
Entity
Organization
Contact information
Practice address
8235 ROCHESTER AVE STE 110, RANCHO CUCAMONGA, CA 91730-0719
(909) 484-4900
(909) 243-7868
Mailing address
8235 ROCHESTER AVE STE 110, RANCHO CUCAMONGA, CA 91730-0719
(909) 484-4900
(909) 243-7868
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A69957
CA
208000000X
Pediatrics Physician
A77358
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0096040
—
CA
Enumeration date
07/31/2006
Last updated
03/09/2012
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