Individual
QUINTON GOPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MEDICAL PLZ, SUITE 550, LOS ANGELES, CA 90095-0001
(310) 203-3388
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 267-9448
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A70846
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A708460
—
CA
01
—
A70846
BLUE CROSS
CA
Enumeration date
06/30/2006
Last updated
09/28/2012
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