Provider Demographics
NPI:1982897658
Name:QIN, NAIGENG (MD)
Entity Type:Individual
Prefix:DR
First Name:NAIGENG
Middle Name:
Last Name:QIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1054 W TOWN AND COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4716
Mailing Address - Country:US
Mailing Address - Phone:714-796-2545
Mailing Address - Fax:714-245-9257
Practice Address - Street 1:1054 W TOWN AND COUNTRY RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4716
Practice Address - Country:US
Practice Address - Phone:714-796-2545
Practice Address - Fax:714-245-9257
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADMR33207SC0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SC0300XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Cytogenetics