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NPI Code Detail

MEDICARE: KEVIN QUOC KHUU

MEDICARE:   KEVIN QUOC KHUU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1558225359
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN QUOC KHUU
Provider Business Mailing Address
First Line : 3233 W FAIRCREST DR
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-3012
Country : US
Telephone Number : 714-553-3490
Fax Number :
Provider Business Practice Location Address
First Line : 3233 W FAIRCREST DR
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-3012
Country : US
Telephone Number : 714-553-3490
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “ KEVIN QUOC KHUU ” Practice Location

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