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NPI Code Detail

MEDICARE: WANHUA QIU

MEDICARE: WANHUA QIU
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1184391690
Entity Type Code : Individual
Provider Name (Legal Business Name) : WANHUA QIU
Provider Business Mailing Address
First Line : 2010 CROW CANYON PL STE 100
Second Line :
City : SAN RAMON
State : CA
Zip : 94583-1344
Country : US
Telephone Number : 855-832-6727
Fax Number : 772-675-9100
Provider Business Practice Location Address
First Line : 2010 CROW CANYON PL STE 100
Second Line :
City : SAN RAMON
State : CA
Zip : 94583-1344
Country : US
Telephone Number : 855-832-6727
Fax Number : 772-675-9100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2021
Last Update Date : 01/09/2026

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Directions to “ WANHUA QIU ” Practice Location

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