Provider Demographics
NPI:1497906580
Name:WU, STELLA XIAORONG (LAC)
Entity Type:Individual
Prefix:
First Name:STELLA
Middle Name:XIAORONG
Last Name:WU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2935 CHINO AVE STE E4
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-3575
Mailing Address - Country:US
Mailing Address - Phone:909-484-8888
Mailing Address - Fax:909-581-0921
Practice Address - Street 1:10722 ARROW RTE STE 314
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4811
Practice Address - Country:US
Practice Address - Phone:909-484-8888
Practice Address - Fax:909-581-0920
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC12656171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist