Provider Demographics
NPI:1326240268
Name:QI, YING (LAC)
Entity Type:Individual
Prefix:DR
First Name:YING
Middle Name:
Last Name:QI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
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Mailing Address - Street 1:4200 TRABUCO RD
Mailing Address - Street 2:#218
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620
Mailing Address - Country:US
Mailing Address - Phone:949-681-0400
Mailing Address - Fax:949-681-0401
Practice Address - Street 1:4200 TRABUCO RD
Practice Address - Street 2:#218
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620
Practice Address - Country:US
Practice Address - Phone:949-681-0400
Practice Address - Fax:949-681-0401
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC5774171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist