Quang Medical Practice, Inc. | |
1199 Bush St Ste 560 San Francisco CA 94109-5976 | |
(415) 885-8080 | |
(415) 885-8081 |
Full Name | Quang Medical Practice, Inc. |
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Speciality | Clinic/Center |
Location | 1199 Bush St Ste 560, San Francisco, California |
Authorized Official Name and Position | Yen Quang (PRESIDENT) |
Authorized Official Contact | 4158858080 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Quang Medical Practice, Inc. 1199 Bush St Ste 560 San Francisco CA 94109-5976 Ph: (415) 885-8080 | Quang Medical Practice, Inc. 1199 Bush St Ste 560 San Francisco CA 94109-5976 Ph: (415) 885-8080 |
NPI Number | 1467938340 |
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Provider Enumeration Date | 07/13/2018 |
Last Update Date | 07/13/2018 |
Medicare PECOS PAC ID | 3577808864 |
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Medicare Enrollment ID | O20181213003203 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467938340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Angela M Quang |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1427006733 PECOS PAC ID: 6002893617 Enrollment ID: I20040701000920 |
Provider Name | Yen N Quang |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326228487 PECOS PAC ID: 0840330460 Enrollment ID: I20131115001692 |
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