Basic Information
| Provider Information | |||||||||
| NPI: | 1578573697 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALMOND | ||||||||
| FirstName: | QUINCY | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 393 E WALNUT ST | ||||||||
| Address2: | PHR GROUP PROVIDER ENROLLMENT UNIT 3RD FL | ||||||||
| City: | PASADENA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 911880001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8776080044 | ||||||||
| FaxNumber: | 8775140903 | ||||||||
| Practice Location | |||||||||
| Address1: | 1310 W STEWART DR | ||||||||
| Address2: | STE 410 | ||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928683854 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7146399401 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2006 | ||||||||
| LastUpdateDate: | 12/01/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/03/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | A91842 | CA | Y | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | P00719635 | 01 | CA | RAIL ROAD MEDICARE - PROVIDER PTAN | OTHER | 1912919804 | 01 | NPI - TYPE 2 | OTHER | A91842 | 01 | CA | ST. LICENSE | OTHER | CG5665 | 01 | CA | RAIL ROAD MEDICARE - GROUP PTAN | OTHER | W1514 | 01 | CA | MEDICARE PTAN - TYPE 2 | OTHER |