Provider Demographics
NPI:1053542795
Name:MU, QING (MSTCM)
Entity type:Individual
Prefix:MS
First Name:QING
Middle Name:
Last Name:MU
Suffix:
Gender:F
Credentials:MSTCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1799 HAMILTON AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-5433
Mailing Address - Country:US
Mailing Address - Phone:408-264-6800
Mailing Address - Fax:
Practice Address - Street 1:1799 HAMILTON AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-5433
Practice Address - Country:US
Practice Address - Phone:408-264-6800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC10610171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist