Organization · NPI-2
Yiqi Medical Group
Clinic/Center, Medical Specialty · San Carlos, CA
NPI number1033928122
StatusActive
Last updated in NPPESFeb 14, 2025
Details
- NPI
- 1033928122
- Entity type
- Organization (NPI-2)
- Legal business name
- Yiqi Medical Group
- Organization subpart
- No
- Enumeration date
- Jan 3, 2025
- Certification date
- Feb 14, 2025
- Last updated
- Feb 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – | |
| 261QP3300X | Clinic/Center, Pain | – | – |
Practice location
555 Old County Rd Ste 100San Carlos, CA 94070-2517
Phone 415-595-4829
Mailing address
555 Old County Rd Ste 100San Carlos, CA 94070-2517
Phone 650-788-9818
Authorized official
Amy Wang
Ceo
6507889818
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