Individual
DR. WALTER QUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(909) 558-4910
Mailing address
11175 CAMPUS ST, CSP 11015, LOMA LINDA, CA 92350-1700
(909) 558-4910
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
35056028
OH
207RH0003X
Hematology & Oncology Physician
Primary
74451
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0924674
—
OH
Enumeration date
10/03/2005
Last updated
12/12/2016
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