Provider Demographics
NPI:1245767508
Name:JING, SHUQING (ACUPUNCTURE)
Entity Type:Individual
Prefix:MS
First Name:SHUQING
Middle Name:
Last Name:JING
Suffix:
Gender:F
Credentials:ACUPUNCTURE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 HAZELNUT CT
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-1662
Mailing Address - Country:US
Mailing Address - Phone:408-306-6830
Mailing Address - Fax:
Practice Address - Street 1:915 HAZELNUT CT
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-1662
Practice Address - Country:US
Practice Address - Phone:408-306-6830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-17
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC16618171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty