Individual ProviderQuan NhuInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address10666 N Torrey Pines Rd, La Jolla, CA 92037-1027(858) 554-3200PECOS EnrollmentBased on the most recent information from CMS, provider Quan Nhu is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1568874675Provider TypeIndividualFull NameNhu, QuanTitleDr.CredentialM.D., PH.D.GenderMaleSole ProprietorNoEnumeration Date5/22/2014Last Updated6/28/2021Contact InformationPractice LocationPractice Address10666 N Torrey Pines Rd, La Jolla, CA 92037-1027Phone(858) 554-3200Fax(858) 554-3232Mailing LocationMailing Address10666 N Torrey Pines Rd, La Jolla, CA 92037-1027Phone(858) 554-3200Fax(858) 554-3232Provider TaxonomiesCodeDescriptionLicenseCode207RG0100XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA145860CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer