Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | A86796 | CA |
NPI | 1043249584 |
---|---|
Provider Name | Dr. David Quinn |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90089-0112 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 10/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H28789 | (02) | CA |