Organization
DR. PHUNG QUACH, OD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHUNG QUACH (OWNER)
(562) 402-1900
Entity
Organization
Contact information
Practice address
11421 CARSON ST STE F, LAKEWOOD, CA 90715-2500
(562) 402-1900
Mailing address
11421 CARSON ST STE F, LAKEWOOD, CA 90715-2500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12643T
CA
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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