Individual provider · Type 1 NPI
Li Q. Qiao, PA
Medical Physician Assistant · Los Angeles, CA
NPI number
1306959168
Active
Practice location
2825 W 8th St, 102
Los Angeles, CA 90005-1291
Fax (213) 380-8998
Mailing address
12840 Riverside Dr, #300
North Hollywood, CA 91607-3327
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA16087 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1306959168
Li Q. Qiao, PA's National Provider Identifier is 1306959168, issued on Aug 16, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.