Provider Demographics
NPI:1508260282
Name:FU, XING GUO
Entity Type:Individual
Prefix:
First Name:XING GUO
Middle Name:
Last Name:FU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46292 WARM SPRINGS BLVD
Mailing Address - Street 2:UNIT 678
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-7997
Mailing Address - Country:US
Mailing Address - Phone:510-657-8788
Mailing Address - Fax:
Practice Address - Street 1:46292 WARM SPRINGS BLVD
Practice Address - Street 2:UNIT 678
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-7997
Practice Address - Country:US
Practice Address - Phone:510-657-8788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-09
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4259171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist