Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 125056075 | IL |
Y | 207YP0228X | Pediatric Otolaryngology | 131645 | CA |
NPI | 1609185990 |
---|---|
Provider Name | Dr. Qiu Zhong |
First Address | Madera, CA 93636-8761 |
Second Address | Madera, CA 93636-8761 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2010 |
Last Update Date | 21/10/2015 |