Provider Demographics
NPI:1780856823
Name:QIU, ZHUOYI (LAC)
Entity Type:Individual
Prefix:MR
First Name:ZHUOYI
Middle Name:
Last Name:QIU
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 N GARFIELD AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-7501
Mailing Address - Country:US
Mailing Address - Phone:626-457-8922
Mailing Address - Fax:
Practice Address - Street 1:41 N GARFIELD AVE STE 102
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-7501
Practice Address - Country:US
Practice Address - Phone:626-457-8922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4958171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist