Provider Demographics
NPI:1760840797
Name:QUAN, YING (PA-C)
Entity Type:Individual
Prefix:MS
First Name:YING
Middle Name:
Last Name:QUAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2995 S JONES BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-5612
Mailing Address - Country:US
Mailing Address - Phone:702-805-1880
Mailing Address - Fax:702-330-0250
Practice Address - Street 1:2995 S JONES BLVD STE A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5612
Practice Address - Country:US
Practice Address - Phone:702-805-1880
Practice Address - Fax:702-330-0250
Is Sole Proprietor?:No
Enumeration Date:2016-02-04
Last Update Date:2020-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVPA1700363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical