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Individual

JEFFREY QUACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
619 N FAIRFAX AVE, LOS ANGELES, CA 90036-1714
(323) 651-0043
Mailing address
688 S BERENDO ST APT 712, LOS ANGELES, CA 90005-1783

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18004
CA

Other

Enumeration date
10/16/2017
Last updated
10/16/2017
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