Individual
ROY WANG QU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-2600
Mailing address
11234 ANDERSON ST BLDG SUITEC, LOMA LINDA, CA 92354-2804
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
PTL7419
CA
Other
Enumeration date
04/06/2021
Last updated
08/01/2022
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