Individual
QUINCY ALMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 W STEWART DR, STE 410, ORANGE, CA 92868-3854
(714) 639-9401
Mailing address
393 E WALNUT ST, PHR GROUP PROVIDER ENROLLMENT UNIT 3RD FL, PASADENA, CA 91188-0001
(877) 608-0044
(877) 514-0903
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A91842
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912919804
NPI - TYPE 2
—
01
—
A91842
ST. LICENSE
CA
01
—
CG5665
RAIL ROAD MEDICARE - GROUP PTAN
CA
01
—
P00719635
RAIL ROAD MEDICARE - PROVIDER PTAN
CA
01
—
W1514
MEDICARE PTAN - TYPE 2
CA
Enumeration date
08/09/2006
Last updated
12/01/2021
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