Individual
JUAN CARLOS QUIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1735 W ROMNEYA DR, ANAHEIM, CA 92801-1804
(714) 591-0456
(888) 508-0709
Mailing address
675 N. EUCLID STREET, #628, ANAHEIM, CA 92801
(714) 808-9797
(714) 808-9393
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A45774
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HK459Z
MEDICARE
CA
Enumeration date
06/16/2005
Last updated
03/17/2018
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