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NPI Code Detail

MEDICARE: QUINN VI TANG P.A., L.AC., DACM

MEDICARE: QUINN VI TANG P.A., L.AC., DACM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistAC9256CA
2363A00000XPhysician AssistantPA15202CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033153572
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUINN VI TANG P.A., L.AC., DACM
Provider Business Mailing Address
First Line : 8405 BEVERLY BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-3401
Country : US
Telephone Number : 323-653-1990
Fax Number :
Provider Business Practice Location Address
First Line : 8405 BEVERLY BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-3401
Country : US
Telephone Number : 323-653-1990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 12/20/2023

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