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Individual

ALBERT QUAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
7000 BOULDER AVE, HIGHLAND, CA 92346-3348
(909) 425-3313
(909) 862-1064
Mailing address
PO BOX 10069, SAN BERNARDINO, CA 92423-0069
(909) 335-4188

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
20A8327
CA
2085R0202X
Diagnostic Radiology Physician
Primary
20A8327
CA
2085R0204X
Vascular & Interventional Radiology Physician
20A8327
CA
2085U0001X
Diagnostic Ultrasound Physician
20A8327
CA

Other

Enumeration date
10/10/2006
Last updated
07/23/2019
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