Provider Demographics
NPI:1801228275
Name:QUAN HADUONG, MD LTD
Entity Type:Organization
Organization Name:QUAN HADUONG, MD LTD
Other - Org Name:HEALTHY CELLS HAPPY LIFE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:QUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HADUONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-469-3938
Mailing Address - Street 1:1 AWBREY CT
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-6707
Mailing Address - Country:US
Mailing Address - Phone:702-469-3938
Mailing Address - Fax:
Practice Address - Street 1:2420 PROFESSIONAL CT STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0837
Practice Address - Country:US
Practice Address - Phone:702-474-1168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7683261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty