Nguyen, Quang

Nguyen, Quang is an individual health care provider with primary practice located at 6945 El Cajon Blvd , San Diego CA 92115-1754. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Nguyen, Quang can be contacted via phone (619) 697-4600.

Contact Information

Primary practice address
6945 El Cajon Blvd San Diego CA 92115-1754
Phone: (619) 697-4600
Fax: (619) 464-5526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT11814 California

Profile Details

NPI number 1417948449
LBN Legal business name Nguyen, Quang
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Nov 29th, 2021 - about 5 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 1417948449 NPPES
California Other OPT11814 STATE LICENSE NUMBER
California MEDICAID GR0052930 STATE LICENSE NUMBER

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