Healthcare Provider Details

I. General information

NPI: 1578573697
Provider Name (Legal Business Name): QUINCY ALMOND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 12/01/2021
Certification Date: 11/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 W STEWART DR STE 410
ORANGE CA
92868-3854
US

IV. Provider business mailing address

393 E WALNUT ST PHR GROUP PROVIDER ENROLLMENT UNIT 3RD FL
PASADENA CA
91188-0001
US

V. Phone/Fax

Practice location:
  • Phone: 714-639-9401
  • Fax:
Mailing address:
  • Phone: 877-608-0044
  • Fax: 877-514-0903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA91842
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: