Provider Demographics
NPI:1174072649
Name:QI, WEI (M A)
Entity type:Individual
Prefix:MR
First Name:WEI
Middle Name:
Last Name:QI
Suffix:
Gender:M
Credentials:M A
Other - Prefix:MR
Other - First Name:GABRIEL
Other - Middle Name:
Other - Last Name:QI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:670 N HILL AVE
Mailing Address - Street 2:APT 2
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-1248
Mailing Address - Country:US
Mailing Address - Phone:626-657-0409
Mailing Address - Fax:
Practice Address - Street 1:670 N HILL AVE
Practice Address - Street 2:APT 2
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-1248
Practice Address - Country:US
Practice Address - Phone:626-657-0409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program