| Richard G Quist, Md Medical Corporation Inc. | |
|
361 Hospital Rd Ste 331 Newport Beach CA 92663-3522 | |
| (949) 645-8300 | |
| (949) 645-0200 |
| Full Name | Richard G Quist, Md Medical Corporation Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 361 Hospital Rd, Newport Beach, California |
| Authorized Official Name and Position | Richard G Quist (PHYSICIAN/CEO) |
| Authorized Official Contact | 9496458300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard G Quist, Md Medical Corporation Inc. 361 Hospital Rd Ste 331 Newport Beach CA 92663-3522 Ph: (949) 645-8300 | Richard G Quist, Md Medical Corporation Inc. 361 Hospital Rd Ste 331 Newport Beach CA 92663-3522 Ph: (949) 645-8300 |
| NPI Number | 1447405808 |
|---|---|
| Provider Enumeration Date | 11/25/2008 |
| Last Update Date | 01/25/2011 |
| Medicare PECOS PAC ID | 2860680188 |
|---|---|
| Medicare Enrollment ID | O20101230000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447405808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A65910 (California) | Primary |
| Provider Name | Richard Gordon Quist |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861436024 PECOS PAC ID: 1759406051 Enrollment ID: I20100909001024 |
| Provider Name | David R Braxton |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982921292 PECOS PAC ID: 5395038004 Enrollment ID: I20160718002221 |
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