Individual
QUAN LA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(484) 476-2000
Mailing address
970 CORTE MADERA AVE, APT 904, SUNNYVALE, CA 94085-4114
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
A143240
CA
Other
Enumeration date
06/13/2011
Last updated
11/29/2021
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