Le, Andy Phuoc Quang

Le, Andy Phuoc Quang is an sole proprietor health care provider with primary practice located at 17100 Euclid St , Fountain Valley CA 92708-4004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Le, Andy Phuoc Quang can be contacted via phone (714) 966-7200.

Contact Information

Primary practice address
17100 Euclid St Fountain Valley CA 92708-4004
Phone: (714) 966-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A78649 California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X A78649 California

Profile Details

NPI number 1659356368
LBN Legal business name Le, Andy Phuoc Quang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2005
Last updated Feb 4th, 2008 - about 17 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 1659356368 NPPES
Other 00A786490 BLUE SHIELD
Other P00140823 BLUE SHIELD
MEDICAID 00A786490 BLUE SHIELD

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