Provider Demographics
NPI:1073025540
Name:YAO, XIAO HONG
Entity Type:Individual
Prefix:
First Name:XIAO
Middle Name:HONG
Last Name:YAO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3589 LOCHINVAR AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-5121
Mailing Address - Country:US
Mailing Address - Phone:650-743-1782
Mailing Address - Fax:
Practice Address - Street 1:3589 LOCHINVAR AVE APT 4
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-5121
Practice Address - Country:US
Practice Address - Phone:650-743-1782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-24
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17552171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist