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General NPI Number Information
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NPI Number | 1538063417
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Entity Type | Individual
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Provider Name | CHRISTOPHER QUAN
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Gender | Male
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 309 E 2ND ST
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City | POMONA
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State | CA
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Zip | 91766-1854
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Country | US
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Telephone | 909-623-6116
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Fax |
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Provider Business Mailing Address
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Address Line | 17192 MURPHY AVE UNIT 18733
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City | IRVINE
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State | CA
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Zip | 92623-0522
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Country | US
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Telephone | 562-277-2285
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 36405
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License Number State | CA
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