Individual
LI Q QIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2825 W 8TH ST, 102, LOS ANGELES, CA 90005-1291
(213) 380-8998
(213) 380-8998
Mailing address
12840 RIVERSIDE DR, #300, NORTH HOLLYWOOD, CA 91607-3327
(818) 655-9900
(818) 655-9909
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16087
CA
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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