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NPI Code Detail

MEDICARE: SHIRLEY QINGXIANG GUAN

MEDICARE: SHIRLEY QINGXIANG GUAN
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
1171100000XAcupuncturist

General Provider Information

NPI Number : 1245951706
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY QINGXIANG GUAN
Provider Business Mailing Address
First Line : 560 W MAIN ST STE C-228
Second Line :
City : ALHAMBRA
State : CA
Zip : 91801-3374
Country : US
Telephone Number : 626-492-4099
Fax Number :
Provider Business Practice Location Address
First Line : 6456 YORK BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90042-3642
Country : US
Telephone Number : 626-492-4099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2022
Last Update Date : 03/27/2023

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Directions to “ SHIRLEY QINGXIANG GUAN ” Practice Location

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