Organization
HUNG THE QUACH, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUNG THE QUACH M.D. (OWNER)
(714) 839-8770
Entity
Organization
Contact information
Practice address
14382 BROOKHURST ST, GARDEN GROVE, CA 92843-4608
(714) 839-8770
(714) 839-3651
Mailing address
14382 BROOKHURST ST, GARDEN GROVE, CA 92843-4608
(714) 839-8770
(714) 839-3651
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
C2136262
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A357890
—
CA
Enumeration date
12/07/2011
Last updated
12/07/2011
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