| Hung The Quach, M.d., Inc. | |
|
14382 Brookhurst St Garden Grove CA 92843-4608 | |
| (714) 839-8770 | |
| (714) 839-3651 |
| Full Name | Hung The Quach, M.d., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 14382 Brookhurst St, Garden Grove, California |
| Authorized Official Name and Position | Hung The Quach (OWNER) |
| Authorized Official Contact | 7148398770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hung The Quach, M.d., Inc. 14382 Brookhurst St Garden Grove CA 92843-4608 Ph: (714) 839-8770 | Hung The Quach, M.d., Inc. 14382 Brookhurst St Garden Grove CA 92843-4608 Ph: (714) 839-8770 |
| NPI Number | 1558639377 |
|---|---|
| Provider Enumeration Date | 12/07/2011 |
| Last Update Date | 12/07/2011 |
| Medicare PECOS PAC ID | 3678733045 |
|---|---|
| Medicare Enrollment ID | O20120321000612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558639377 | NPI | - | NPPES |
| 00A357890 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | C2136262 (California) | Primary |
| Provider Name | Hung T Quach |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255428975 PECOS PAC ID: 4284894650 Enrollment ID: I20120321000665 |
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