Provider Demographics
NPI:1326087586
Name:DU, XIN N/A (L AC)
Entity Type:Individual
Prefix:MS
First Name:XIN
Middle Name:N/A
Last Name:DU
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:750 S LINCOLN AVE
Mailing Address - Street 2:103
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-3551
Mailing Address - Country:US
Mailing Address - Phone:951-340-0440
Mailing Address - Fax:951-340-0478
Practice Address - Street 1:750 S LINCOLN AVE
Practice Address - Street 2:103
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-3551
Practice Address - Country:US
Practice Address - Phone:951-340-0440
Practice Address - Fax:951-340-0478
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC5684171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist