Trung Ha Quach, AT
Individual provider Active NPI Health Educator · Mountain House, CA
NPI 1700243763 · NPPES record last updated Jan 21, 2016
Key facts
- NPI
- 1700243763
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Educator 174H00000X
- License
- NBC-22621 (CA)
- Practice address
- 63 W Posada LN
Mountain House, CA 95391-2041 - Phone
- (209) 817-3735
- NPI assigned
- Jan 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NBC-22621 | CA | MD | Health Educator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | NBC-22621 | CA | Yes |
Addresses
Primary practice location
63 W Posada LN
Mountain House, CA 95391-2041
Mailing address
63 W Posada Lane
Mountain House, CA 95391
Phone (209) 817-3735
Other providers in Mountain House, CA
- Stephanie Anne Mohtashemi
- Teresa Marie Nava-Anderson
- Justin Ngari Nderitu
- Kaleb Paul
- Isabela Loredana Putzlacher
- Nirmala Ramachandran
- Tejdeep Singh Rattan
- Safestep Medical LLC
- Safeway Inc
- Eshita Sharma
All providers in Mountain House, CA · Health Educator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.