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NPI Code Detail

MEDICARE: HESHAN QIU PMHNP-BC

MEDICARE: HESHAN QIU PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95038461CA
2163WP0808XPsychiatric/Mental Health Registered Nurse95351184CA

General Provider Information

NPI Number : 1548112766
Entity Type Code : Individual
Provider Name (Legal Business Name) : HESHAN QIU PMHNP-BC
Provider Business Mailing Address
First Line : 7500 HELLMAN AVE
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-2216
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7500 HELLMAN AVE
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-2216
Country : US
Telephone Number : 626-288-1160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 06/04/2026

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Directions to “ HESHAN QIU PMHNP-BC” Practice Location

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