Provider Demographics
NPI:1265822688
Name:GUO, JIANXIA (LAC)
Entity Type:Individual
Prefix:MS
First Name:JIANXIA
Middle Name:
Last Name:GUO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7720 VIA FRANCESCO UNIT 4
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-5147
Mailing Address - Country:US
Mailing Address - Phone:858-357-1807
Mailing Address - Fax:610-643-1634
Practice Address - Street 1:9285 DOWDY DR
Practice Address - Street 2:SUITE 103
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-6379
Practice Address - Country:US
Practice Address - Phone:858-357-1807
Practice Address - Fax:610-643-1634
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-24
Last Update Date:2015-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8359171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist