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NPI Code Detail

MEDICARE: YANSONG QU

MEDICARE: YANSONG QU
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
1171100000XAcupuncturist20610CA

General Provider Information

NPI Number : 1215879366
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANSONG QU
Provider Business Mailing Address
First Line : 31337 SANTA CRUZ WAY
Second Line :
City : UNION CITY
State : CA
Zip : 94587-2842
Country : US
Telephone Number : 510-456-5270
Fax Number :
Provider Business Practice Location Address
First Line : 31337 SANTA CRUZ WAY
Second Line :
City : UNION CITY
State : CA
Zip : 94587-2842
Country : US
Telephone Number : 510-456-5270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “ YANSONG QU ” Practice Location

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