Provider Demographics
NPI:1508005943
Name:WU, XIPING (LIC AC, PHD)
Entity Type:Individual
Prefix:
First Name:XIPING
Middle Name:
Last Name:WU
Suffix:
Gender:F
Credentials:LIC AC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32322 COAST HWY STE C
Mailing Address - Street 2:
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-6785
Mailing Address - Country:US
Mailing Address - Phone:949-499-0666
Mailing Address - Fax:949-415-1165
Practice Address - Street 1:32322 COAST HWY STE C
Practice Address - Street 2:
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-6785
Practice Address - Country:US
Practice Address - Phone:949-499-0666
Practice Address - Fax:949-415-1165
Is Sole Proprietor?:No
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7840171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist