# YIQI MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033928122
- **Authorized official:** DR. AMY WANG DTCM (CEO)
- **Authorized official phone:** (650) 788-9818

## Contact information

- **Practice address:** 555 OLD COUNTY RD STE 100, SAN CARLOS, CA 94070-2517
- **Practice address phone:** (415) 595-4829
- **Mailing address:** 555 OLD COUNTY RD STE 100, SAN CARLOS, CA 94070-2517
- **Mailing address phone:** (650) 788-9818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |
| 261QP3300X | Pain Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 01/03/2025
- **Last updated:** 02/14/2025