| Justin P. Quock, M.d., | |
|
929 Clay St Suite 201 San Francisco CA 94108-1556 | |
| (415) 398-5100 | |
| (415) 837-1408 |
| Full Name | Justin P. Quock, M.d., |
|---|---|
| Speciality | Clinic/Center |
| Location | 929 Clay St, San Francisco, California |
| Authorized Official Name and Position | Justin P Quock (PRESIDENT) |
| Authorized Official Contact | 4153985100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin P. Quock, M.d., 929 Clay St Suite 201 San Francisco CA 94108-1556 Ph: (415) 398-5100 | Justin P. Quock, M.d., 929 Clay St Suite 201 San Francisco CA 94108-1556 Ph: (415) 398-5100 |
| NPI Number | 1255647251 |
|---|---|
| Provider Enumeration Date | 08/27/2010 |
| Last Update Date | 09/28/2012 |
| Medicare PECOS PAC ID | 3971798828 |
|---|---|
| Medicare Enrollment ID | O20101117000751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255647251 | NPI | - | NPPES |
| 00A559160 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A55916 (California) | Primary |
| 261QX0200X | Clinic/center - Oncology | A55916 (California) | Secondary |
| Provider Name | Justin Poy Quock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699792663 PECOS PAC ID: 6406041367 Enrollment ID: I20101117000823 |
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