IndividualActive
Kellie Quan
NPI 1760525026 · Geriatric Pharmacist · Van Nuys, CA
Provider details
- NPI number
- 1760525026
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- R53135 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6000 Woodman Ave
Van Nuys, CA 91401-6310
Phone: (310) 770-2842
Street-level locationGet directions
Mailing address
14449 Benefit St Apt 5
Sherman Oaks, CA 91423-4037
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.