Whalio Doctors

NPI 1023354982

Juan Carlos Quiros MD a Professional Medical Corporation

Organisation Specialist Anaheim, CA

Practice location

Address
1735 W Romneya Dr, Anaheim, CA 92801-1804
Phone
(714) 591-0456
Fax
(888) 508-0709
Mailing address
675 N Euclid St #628, Anaheim, CA 92801-4639

Authorised official

Name
Juan Carlos Quiros
Title
President
Phone
(714) 591-0456

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence A45774 (CA)

Registry record

NPI
1023354982
Entity type
Organization
NPI issued
21 Dec 2012
Record last updated
17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.