Provider Demographics
NPI:1386422434
Name:QU, SHUXIAN
Entity type:Individual
Prefix:
First Name:SHUXIAN
Middle Name:
Last Name:QU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:STELLA
Other - Middle Name:
Other - Last Name:QU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:20500 TOWN CENTER LN UNIT 187
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-3256
Mailing Address - Country:US
Mailing Address - Phone:408-489-6728
Mailing Address - Fax:
Practice Address - Street 1:20500 TOWN CENTER LN UNIT 187
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-3256
Practice Address - Country:US
Practice Address - Phone:408-489-6728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist