P.Q. Medical Group Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC10165 Issued in CA

Legal business name

P.Q. MEDICAL GROUP INC.

Practice address

55 S Raymond Ave Ste 108
Alhambra, CA 91801-7103

Phone

(626) 642-2002

NPI assigned

Apr 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jin Qiang Pan

Title

Ceo

Phone

(626) 642-2002

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1659596369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S RAYMOND AVE STE 108",
            "address_2": "1145 W VALLEY BLVD.",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S RAYMOND AVE STE 108",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017103",
            "telephone_number": "626-642-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.Q. MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "JIN",
        "authorized_official_middle_name": "QIANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-642-2002"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.