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NPI Code Detail

MEDICARE: LINDA QUAN

MEDICARE:   LINDA  QUAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1154688158
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA QUAN
Provider Business Mailing Address
First Line : 1550 AVALON ST
Second Line : APT. 7
City : LOS ANGELES
State : CA
Zip : 90026-1846
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1550 AVALON ST
Second Line : APT. 7
City : LOS ANGELES
State : CA
Zip : 90026-1846
Country : US
Telephone Number : 626-232-7666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2012
Last Update Date : 04/13/2012

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Directions to “ LINDA QUAN ” Practice Location

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