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HUNG THE QUACH M.D. NPI 1255428975


NPI Information

NPI: 1255428975
Provider Name: HUNG THE QUACH, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: FAMILY CHOICE ACO LLC

PECOS Registration: Yes

CLIA Number: 05D0577104

Address:
14382 BROOKHURST ST
GARDEN GROVE, CA
ZIP 92843
Phone: (714) 839-8770
Get Directions

Hung The Quach, M.D. is a family medicine in Garden Grove, CA with 51 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Hung The Quach, M.D. NPI is 1255428975. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14382 BROOKHURST ST
GARDEN GROVE, CA
ZIP 92843-608
Phone: (714) 839-8770
Fax: (714) 839-3651

The NPI 1255428975 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), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D0577104 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 12/7/2011.


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
1208000000XPediatricsA35789CALIFORNIANo
22080N0001XPediatricsNeonatal-Perinatal MedicineA35789CALIFORNIANo
3207Q00000XFamily MedicineA35789CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A27906MEDICARE UPINCALIFORNIA
2A35789MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
300A357890MEDICAIDCALIFORNIA

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: 11/14/2023

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.