Provider Demographics
NPI:1518269315
Name:WU, XUYANG
Entity Type:Individual
Prefix:MRS
First Name:XUYANG
Middle Name:
Last Name:WU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2004 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1432
Mailing Address - Country:US
Mailing Address - Phone:650-218-1893
Mailing Address - Fax:650-300-5039
Practice Address - Street 1:1289 E HILLSDALE BLVD STE 2
Practice Address - Street 2:
Practice Address - City:FOSTER CITY
Practice Address - State:CA
Practice Address - Zip Code:94404-1219
Practice Address - Country:US
Practice Address - Phone:650-212-7968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14005171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist