Healthcare Provider Details

I. General information

NPI: 1730108606
Provider Name (Legal Business Name): COLLIN POY QUOCK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 12/14/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

929 CLAY ST SUITE 201
SAN FRANCISCO CA
94108-1556
US

IV. Provider business mailing address

140 CASITAS AVE
SAN FRANCISCO CA
94127-1602
US

V. Phone/Fax

Practice location:
  • Phone: 415-398-5100
  • Fax: 415-398-5102
Mailing address:
  • Phone: 415-398-5100
  • Fax: 415-398-5102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA21619
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: