Quang CHI Quach a Professional Medical Corporation

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

20A6918 Issued in CA

Legal business name

QUANG CHI QUACH A PROFESSIONAL MEDICAL CORPORATION

Practice address

9251 Bolsa Ave
Westminster, CA 92683-5534

Phone

(714) 248-9841

Fax

(714) 248-9843

NPI assigned

Oct 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Quang CHI Quach, DONPI 1215960943

Title

Director

Phone

(714) 248-9841

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Quang CHI Quach, D.O.

  • Facial Plastic Surgery Physician
  • Westminster, CA
  • NPI 1215960943
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1376631697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9251 BOLSA AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835534",
            "telephone_number": "714-248-9841",
            "fax_number": "714-248-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9251 BOLSA AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835534",
            "telephone_number": "714-248-9841",
            "fax_number": "714-248-9843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9143 Valley Blvd",
            "address_2": "SUITE 201A",
            "address_purpose": "LOCATION",
            "city": "Rosemead",
            "state": "CA",
            "postal_code": "917701919",
            "country_code": "US",
            "telephone_number": "626-309-0480",
            "fax_number": "626-309-0481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUANG CHI QUACH A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "QUACH",
        "authorized_official_first_name": "QUANG",
        "authorized_official_middle_name": "CHI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-248-9841",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "20A6918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX69180",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL STATE LICENSE",
            "identifier": "20A6918",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vy-Hang Dang Quach
• Quality Healthcare Services Inc.
• Hanh Quan, DDS
• Khue Hanh Quan, DDS
• Thanh-Lan Trong Quan, MD
• Ngoc Hao Thi Quang, DDS
• Robert Quinones
• Olga Quintana
• Miriam Quintanilla
• Huong Tran Quy, DO

• Facial Plastic Surgery Physician in Westminster, CA
• Providers in Westminster, CA by specialty
• Facial Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.