Organization
QINGQUAN MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QINGQUAN FU MD (OWNER)
(415) 312-9094
Entity
Organization
Contact information
Practice address
818 JACKSON ST STE 202, SAN FRANCISCO, CA 94133-4849
(415) 312-9094
(415) 795-9691
Mailing address
710 32ND AVE, SAN FRANCISCO, CA 94121-3502
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
C53780
CA
Other
Enumeration date
04/28/2014
Last updated
02/13/2020
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