Kenny Quach Dpm
Podiatrist, Foot & Ankle Surgery in Fountain Valley, CA. Organization (NPI-2).
Details
- NPI
- 1689350274
- Entity type
- Organization (NPI-2)
- Legal business name
- Kenny Quach Dpm
- Organization subpart
- No
- Enumeration date
- Jun 27, 2023
- Certification date
- Jul 21, 2023
- Last updated
- Jul 21, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | Yes |
Practice location
11100 Warner Ave Ste 306Fountain Valley, CA 92708-7512
Phone 714-979-0313 · Fax 714-979-0340
Mailing address
11100 Warner Ave Ste 306Fountain Valley, CA 92708-7512
Phone 714-979-0313 · Fax 714-979-0340
Authorized official
Kenny Au Quach
Ceo
7149790313
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Foot & Ankle Surgery Podiatrist providers in Fountain Valley, CA
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- Michael H. Simons D.P.M. A Professional CorporationNPI 1740462910
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- Kenny Au Quach, DPMNPI 1841815545
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All 14 Foot & Ankle Surgery Podiatrist providers in Fountain Valley · All 3,097 providers in Fountain Valley
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