Organization
QUANG CHI QUACH A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUANG CHI QUACH DO (DIRECTOR)
(714) 248-9841
Entity
Organization
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
05
—
00AX69180
—
CA
01
—
20A6918
MEDICAL STATE LICENSE
CA
Enumeration date
10/11/2006
Last updated
03/28/2018
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