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Organization
KENNY QUACH DPM
Active
Organization
KENNY QUACH DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNY AU QUACH DPM (CEO)
(714) 979-0313
Entity
Organization
Contact information
Practice address
11100 WARNER AVE STE 306, FOUNTAIN VALLEY, CA 92708-7512
(714) 979-0313
(714) 979-0340
Mailing address
11100 WARNER AVE STE 306, FOUNTAIN VALLEY, CA 92708-7512
(714) 979-0313
(714) 979-0340
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
07/21/2023
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