Wang, Amy Qiu

Wang, Amy Qiu is an individual health care provider with primary practice located at 222 W Eulalia St Ste 100-B, Glendale CA 91204-2849. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Wang, Amy Qiu can be contacted via phone (818) 637-7611.

Contact Information

Primary practice address
222 W Eulalia St Ste 100-B Glendale CA 91204-2849
Fax: (818) 637-5106
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X A72227 California

Profile Details

NPI number 1720155609
LBN Legal business name Wang, Amy Qiu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Dec 17th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720155609 NPPES
California MEDICAID 00A722270

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