Provider Demographics
NPI:1609947837
Name:XIE, BE ROBERT (LAC)
Entity Type:Individual
Prefix:
First Name:BE
Middle Name:ROBERT
Last Name:XIE
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39210 STATE ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1456
Mailing Address - Country:US
Mailing Address - Phone:510-794-8289
Mailing Address - Fax:510-794-7368
Practice Address - Street 1:39210 STATE ST
Practice Address - Street 2:SUITE 209
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1456
Practice Address - Country:US
Practice Address - Phone:510-794-8289
Practice Address - Fax:510-794-7368
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist