Individual
QUANG CHI QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9251 BOLSA AVE, WESTMINSTER, CA 92683-5534
(714) 248-9841
(714) 248-9843
Mailing address
9251 BOLSA AVE, WESTMINSTER, CA 92683-5534
(714) 248-9841
(714) 248-9843
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
20A6918
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A6918
STATE MEDICAL LICENSE
CA
Enumeration date
07/08/2006
Last updated
03/28/2018
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