Organization
EVA S. QUIROZ, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVA S QUIROZ M.D. (PRESIDENT)
(510) 790-2897
Entity
Organization
Contact information
Practice address
2000 MOWRY AVE, FREMONT, CA 94538-1716
(510) 402-3424
Mailing address
1028 AVILA TERRAZA, FREMONT, CA 94538-4601
(510) 790-2897
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G86961
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G869610
BLUESHIELD OF CA PIN
CA
05
—
00G869610
—
CA
Enumeration date
12/04/2006
Last updated
09/27/2010
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