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DR. KENNY AU QUACH DPM NPI 1841815545


NPI Information

NPI: 1841815545
Provider Name: DR. KENNY AU QUACH, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
11100 WARNER AVE STE 306
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 979-0313
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DR. Kenny Au Quach, DPM is a foot and ankle surgery podiatrist in Fountain Valley, CA with 4 years of experience. DR. Kenny Au Quach, DPM NPI is 1841815545. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2020

The provider's business location address is:

11100 WARNER AVE STE 306
FOUNTAIN VALLEY, CA
ZIP 92708-512
Phone: (714) 979-0313
Fax: (714) 979-0340

The NPI 1841815545 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/9/2020 and was last updated on 6/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryEL6963CALIFORNIANo
2213ES0103XPodiatristFoot & Ankle SurgeryE5920CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.