Organization
HAROLD E QUAN M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL S QUAN R.N. (OFFICE MANAGER)
(666) 255-8320
Entity
Organization
Contact information
Practice address
23928 LYONS AVE, SUITE 101, NEWHALL, CA 91321-2409
(661) 255-8320
(661) 255-0338
Mailing address
23928 LYONS AVE, SUITE 101, NEWHALL, CA 91321-2409
(661) 255-8320
(661) 255-0338
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A341820
—
CA
01
—
DN5809
RAILROAD MEDICARE GROUP NUMBER
—
01
—
W12999
MEDICARE PTAN
CA
01
—
ZZZ57676Z
BLUE SHIELD
—
Enumeration date
08/31/2006
Last updated
02/06/2009
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