| Huong Tran Quy Inc | |
|
9559 Bolsa Ave Suite D Westminster CA 92683-5986 | |
| (714) 531-5754 | |
| (714) 531-5824 |
| Full Name | Huong Tran Quy Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 9559 Bolsa Ave, Westminster, California |
| Authorized Official Name and Position | Huong Tran Quy (PRESIDENT) |
| Authorized Official Contact | 7145315754 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Huong Tran Quy Inc 9559 Bolsa Ave Suite D Westminster CA 92683-5986 Ph: (714) 531-5754 | Huong Tran Quy Inc 9559 Bolsa Ave Suite D Westminster CA 92683-5986 Ph: (714) 531-5754 |
| NPI Number | 1710326905 |
|---|---|
| Provider Enumeration Date | 06/20/2013 |
| Last Update Date | 07/16/2014 |
| Medicare PECOS PAC ID | 7719127489 |
|---|---|
| Medicare Enrollment ID | O20130702000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710326905 | NPI | - | NPPES |
| 20A11084 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A11084 (California) | Primary |
| Provider Name | Huong T Quy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588826150 PECOS PAC ID: 4284820416 Enrollment ID: I20101130000343 |
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