Individual provider · Type 1 NPI

Jiaqi Wang

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1417569567 Active

Practice location

1985 Zonal Ave
Los Angeles, CA 90089-5305

Mailing address

602, Unite 2, Building 17, Taipingjiao Six Rd.
Qingdao, SHANDONG 26607

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X89755 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417569567

Jiaqi Wang's National Provider Identifier is 1417569567, issued on Aug 20, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 4, 2024.