Organization
NGUYEN QUACH OD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NGUYEN HUNG QUACH OD (CEO / PRESIDENT)
(530) 723-4005
Entity
Organization
Contact information
Practice address
1880 PRAIRIE CITY RD, STE 130, FOLSOM, CA 95630-9593
(916) 985-7848
(888) 789-5412
Mailing address
1880 PRAIRIE CITY RD, STE 130, FOLSOM, CA 95630-9593
(916) 985-7848
(888) 789-5412
Taxonomy
Speciality
Code
Description
License number
State
152WS0006X
Sports Vision Optometrist
Primary
13774
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558768374
NGUYEN QUACH OD A PROFESSIONAL CORPORATION
CA
Enumeration date
11/21/2014
Last updated
02/02/2016
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