Individual
HAEIL HAN QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PROGRAM COORDINATOR
Contact information
Practice address
1310 WILSHIRE BLVD, LOS ANGELES, CA 90017-1705
(213) 483-3000
Mailing address
1310 WILSHIRE BLVD, LOS ANGELES, CA 90017-1705
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
CA
Other
Enumeration date
11/17/2022
Last updated
05/06/2025
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