Provider Demographics
NPI:1558401182
Name:TAN, XINPING (L AC)
Entity Type:Individual
Prefix:
First Name:XINPING
Middle Name:
Last Name:TAN
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8356 WHITMORE ST
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-2649
Mailing Address - Country:US
Mailing Address - Phone:626-589-4423
Mailing Address - Fax:
Practice Address - Street 1:600 N GARFIELD AVE STE 100
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1167
Practice Address - Country:US
Practice Address - Phone:626-280-2533
Practice Address - Fax:626-458-9401
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 8404171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist