LEON QUAN (NPI# 1093080939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093080939 |
| Entity Type | Individual |
| Full Name | LEON QUAN |
| Credential | RPH |
| Practice Address |
9404 Central Ave Montclair CA 91763-2421 |
| Practice Telephone | 9095755003 |
| Mailing Telephone | 9095755003 |
| Enumeration Date | 2012-03-10 |
| Last Update Date | 2012-03-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 43541 | CA | Pharmacy Service Providers |
| Street Address |
9404 CENTRAL AVE |
| City | MONTCLAIR |
| State | CA |
| Zip Code | 91763-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134239734 | Costco Wholesale Corporation | Pharmacy | 9404 Central Ave, Montclair, CA 91763 | 2006-08-30 |
| 1780155028 | Steven Wang | Pharmacist | 9404 Central Ave, Montclair, CA 91763-2421 | 2018-12-16 |
| 1063870566 | Costco Wholesale Corporation | Hearing Aid Equipment | 9404 Central Ave, Montclair, CA 91763-2421 | 2016-01-29 |
| 1043609514 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 9404 Central Ave, Montclair, CA 91763-2421 | 2015-01-21 |
| 1326316357 | Jeanette Der | Pharmacist | 9404 Central Ave, Montclair, CA 91763-2421 | 2011-12-05 |
| 1871700252 | Lisa Le Tran | Optometrist | 9404 Central Ave, Montclair, CA 91763-2421 | 2007-05-16 |
| 1609928993 | Kristie Michelle Sparkman | Optometrist | 9404 Central Ave, Montclair, CA 91763-2421 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335760 | Cho Jeon Yun Dental Partnership | Dentist | 9655 Monte Vista Ave #406, Montclair, CA 91763 | 2020-08-07 |
| 1215498811 | Above Urgent Care Center | Emergency Medicine | 8891 N. Central Ave Ste A, Montclair, CA 91763 | 2019-03-27 |
| 1467936906 | Bronislava Kroulik | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763 | 2018-09-20 |
| 1063936110 | Monique Karina Enriquez | Licensed Vocational Nurse | 5580 Moreno St #82, Montclair, CA 91763 | 2017-07-31 |
| 1972961159 | Lacy Pinsky | Specialist/Technologist | 5035 Flora St., Montclair, CA 91763 | 2016-02-03 |
| 1912333790 | Cinta Hospice Care Inc | Hospice Care, Community Based | 5050 Palo Verde Street, Suite 101, Montclair, CA 91763 | 2013-09-24 |
| 1720334626 | Priority One Hospice, Inc. | Hospice Care, Community Based | 4959 Palo Verde St Ste 107c, Montclair, CA 91763 | 2012-07-28 |
| 1689982498 | Paulina Trujillo Perez | Counselor | 9916 Central Ave., Montclair, CA 91763 | 2010-09-15 |
| 1982846499 | Esther Phillips Agepogu | Physician Assistant | 9301 Central Ave., Montclair, CA 91763 | 2009-03-30 |
| 1568633139 | Mahin Nosrati-jahromi | Dentist | 9509 Central Ave #d, Montclair, CA 91763 | 2008-03-21 |
| Find all providers in zip 91763 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922558469 | Brian Binh Lam | Pharmacist | 10427 Lehigh Ave, Montclair, CA 91763-4170 | 2016-10-07 |
| 1740567676 | Priscilla T Luu | Pharmacist | 11156 Shetland Ave, Montclair, CA 91763-6431 | 2011-11-06 |
| 1063736221 | James Anthony Vasquez | Pharmacist | 19 Mendl Ter, Montclair, NJ 07042-4107 | 2010-03-17 |
| 1417065996 | Robert H Mohrmann | Pharmacist | 9635 Monte Vista Ave #202, Montclair, CA 91763 | 2006-08-26 |
| 1811900327 | Francis A. Malizia | Pharmacist | 147 Eagle Rock Way, Montclair, NJ 07042-1622 | 2006-08-14 |
| 1528602703 | Mays Kandela | Pharmacist | 9675 Monte Vista Ave, Montclair, CA 91763-2233 | 2019-10-31 |
| 1780155028 | Steven Wang | Pharmacist | 9404 Central Ave, Montclair, CA 91763-2421 | 2018-12-16 |
| 1750735676 | Yoonchan Christian Lim | Pharmacist | 4535 Holt Blvd, Montclair, CA 91763-4710 | 2016-04-17 |
| 1609247683 | Glenn Bryan Morataya | Pharmacist | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2015-10-15 |
| 1386025211 | Stuart Ross Keil | Pharmacist | 732 Valley Rd, Montclair, NJ 07043-1521 | 2015-06-16 |
| Find all providers in MONTCLAIR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.