Individual
JONATHAN NHUT QUACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 420, LOS ANGELES, CA 90095-3414
(310) 207-0117
(310) 207-0119
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A130657
CA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
A130657
CA
208M00000X
Hospitalist Physician
A130657
CA
Other
Enumeration date
04/03/2012
Last updated
05/05/2023
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