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NPI Code Detail

MEDICARE: DORIS QUON M.D.

MEDICARE: DORIS QUON M.D.
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
1207RH0000XHematology (Internal Medicine) PhysicianA65707CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578589271
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORIS QUON M.D.
Provider Business Mailing Address
First Line : 403 WEST ADAMS BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-2664
Country : US
Telephone Number : 213-742-1000
Fax Number : 213-742-1435
Provider Business Practice Location Address
First Line : 403 W ADAMS BLVD
Second Line : HEMOPHILIA TREATMENT CENTER
City : LOS ANGELES
State : CA
Zip : 90007-2664
Country : US
Telephone Number : 213-742-1000
Fax Number : 213-742-1103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 10/10/2013

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