Provider Demographics
NPI:1306004569
Name:ADAMS, PING XIAO (L AC OMD)
Entity Type:Individual
Prefix:
First Name:PING
Middle Name:XIAO
Last Name:ADAMS
Suffix:
Gender:F
Credentials:L AC OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 MARKET ST
Mailing Address - Street 2:SUITE 353
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-2514
Mailing Address - Country:US
Mailing Address - Phone:415-434-9008
Mailing Address - Fax:415-434-4188
Practice Address - Street 1:870 MARKET ST
Practice Address - Street 2:SUITE 353
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3002
Practice Address - Country:US
Practice Address - Phone:415-434-9008
Practice Address - Fax:415-434-4188
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 6220171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist