Provider Demographics
NPI:1407922966
Name:XU, ALLEN M (LIC ACUPUNCTURIST)
Entity Type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:M
Last Name:XU
Suffix:
Gender:M
Credentials:LIC ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:6050 GEARY BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-1990
Mailing Address - Country:US
Mailing Address - Phone:415-379-1622
Mailing Address - Fax:415-379-1633
Practice Address - Street 1:6050 GEARY BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-1990
Practice Address - Country:US
Practice Address - Phone:415-379-1622
Practice Address - Fax:415-379-1633
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC3523171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1407922966Medicare PIN