Provider Demographics
NPI:1801210679
Name:WU, QING HUA (LAC)
Entity Type:Individual
Prefix:
First Name:QING
Middle Name:HUA
Last Name:WU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5255 STEVENS CREEK BLVD
Mailing Address - Street 2:SUITE 129
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-6664
Mailing Address - Country:US
Mailing Address - Phone:408-984-2455
Mailing Address - Fax:408-984-2456
Practice Address - Street 1:5255 STEVENS CREEK BLVD
Practice Address - Street 2:SUITE 129
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-6664
Practice Address - Country:US
Practice Address - Phone:408-984-2455
Practice Address - Fax:408-984-2456
Is Sole Proprietor?:No
Enumeration Date:2014-02-13
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA15438171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist