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Individual

DR. KENNY AU QUACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
11100 WARNER AVE STE 306, FOUNTAIN VALLEY, CA 92708-7512
(714) 979-0313
(714) 979-0340
Mailing address
11100 WARNER AVE STE 306, FOUNTAIN VALLEY, CA 92708-7512
(714) 979-0313
(714) 979-0340

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5920
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
EL6963
CA

Other

Enumeration date
06/09/2020
Last updated
06/20/2023
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