Organization
EASTFIELD MING QUONG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASSANDRA RIEDY HARMS MFT (CLINICIAN)
(408) 963-8876
Entity
Organization
Contact information
Practice address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(408) 379-3790
Mailing address
23450 OLD SANTA CRUZ HWY, LOS GATOS, CA 95033-8707
(408) 963-8876
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
40501
CA
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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