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General NPI Number Information
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NPI Number | 1285997668
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Entity Type | Organization
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Legal Business Name | FOCUS MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 06/20/2012
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Last Update Date | 06/20/2012
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Provider Practice Location Address
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Address Line | 2079 COMPTON AVE SUITE 102
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City | CORONA
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State | CA
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Zip | 92881-7284
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Country | US
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Telephone | 951-735-9599
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Fax | 951-735-7585
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Provider Business Mailing Address
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Address Line | 4475 BIRDIE DR
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City | CORONA
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State | CA
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Zip | 92883-0641
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | QUANG VO
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Credential | MD
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Telephone | 714-317-4998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | A84479
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A84479
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License Number State | CA
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