| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KEVIN QUACH | 1982312229 | 2022-11-07 |
Kevin Quach is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1982312229. Registration indicates Kevin Quach is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Kevin Quach |
| Practice Office Address | 222 W 39TH AVE SAN MATEO, CA US |
| Practice Office Telephone | 6505732222 |
| Mailing Address | 222 W 39TH AVE ATTN EMERGENCY DEPARTMENT SAN MATEO, CA 94403 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 3100 Telegraph Ave | Oakland, CA 946093239 | 5108799200 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 62221
CA |