Provider Demographics
NPI:1093766271
Name:XUE, CHULONG (L AC)
Entity Type:Individual
Prefix:DR
First Name:CHULONG
Middle Name:
Last Name:XUE
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1111 CIVIC DR STE 111
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-8231
Mailing Address - Country:US
Mailing Address - Phone:925-977-3618
Mailing Address - Fax:925-977-1639
Practice Address - Street 1:1111 CIVIC DR STE 111
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-8231
Practice Address - Country:US
Practice Address - Phone:925-977-3618
Practice Address - Fax:925-977-1639
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 10110171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist