Healthcare Provider Details

I. General information

NPI: 1649228495
Provider Name (Legal Business Name): QUANG CONSULTING SERVICES, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 12/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20701 N SCOTTSDALE RD STE 107-496
SCOTTSDALE AZ
85255-6413
US

IV. Provider business mailing address

20701 N SCOTTSDALE RD STE 107-496
SCOTTSDALE AZ
85255-6499
US

V. Phone/Fax

Practice location:
  • Phone: 480-800-3975
  • Fax: 480-800-3982
Mailing address:
  • Phone: 480-800-3975
  • Fax: 480-800-3982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number35299
License Number StateAZ

VIII. Authorized Official

Name: RONALD STEPHEN QUANG
Title or Position: MANAGING MEMBER
Credential: M.D.
Phone: 480-800-3975