Individual
QUAN VAN
Active
Individual
QUAN VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, RDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86133258
CA
363A00000X
Physician Assistant
PA200001731
DC
363AS0400X
Surgical Physician Assistant
Primary
PA200001731
DC
Other
Enumeration date
03/24/2020
Last updated
09/04/2023
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