Kieu, Chan Q.

Kieu, Chan Q. is an individual health care provider with primary practice located at 17100 Euclid St , Fountain Valley CA 92708-4004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kieu, Chan Q. can be contacted via phone (714) 979-1211.

Contact Information

Primary practice address
17100 Euclid St Fountain Valley CA 92708-4004
Phone: (714) 979-1211
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A33128 California

Profile Details

NPI number 1750344735
LBN Legal business name Kieu, Chan Q.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Mar 3rd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750344735 NPPES
California MEDICAID 00A331280

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