Organization
EASTFIELD MING QUONG
Active
Other names
EMQ Children & Family Services Robert Sanders
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CHAMPION LMFT (DIVISION DIRECTOR)
(408) 379-3790
Entity
Organization
Contact information
Practice address
3411 ROCKY MOUNTAIN DR, SAN JOSE, CA 95127-4853
(408) 379-3790
Mailing address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(408) 379-3790
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8382
UNICARE
CA
01
—
L-000223
SCC LOCATION CODE
CA
Enumeration date
12/27/2006
Last updated
08/22/2020
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