Provider Demographics
NPI:1285852251
Name:CUNG, XUAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:XUAN
Middle Name:
Last Name:CUNG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2480 N 1ST ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-1020
Mailing Address - Country:US
Mailing Address - Phone:408-885-3521
Mailing Address - Fax:408-885-3521
Practice Address - Street 1:2480 N 1ST ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-1020
Practice Address - Country:US
Practice Address - Phone:408-885-3521
Practice Address - Fax:408-885-3521
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA506011835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist