Quan, Walter

Quan, Walter is an individual health care provider with primary practice located at 26520 Cactus Ave , Moreno Valley CA 92555-3927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Quan, Walter can be contacted via phone (909) 558-4910.

Contact Information

Primary practice address
26520 Cactus Ave Moreno Valley CA 92555-3927
Phone: (909) 558-4910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 35056028 Ohio
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 74451 California

Profile Details

NPI number 1760479000
LBN Legal business name Quan, Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Dec 12th, 2016 - about 9 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 1760479000 NPPES
Ohio MEDICAID 0924674

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