Provider Demographics
NPI:1609990936
Name:CHENG, XIAOHUA (ACUPUNCTURE)
Entity Type:Individual
Prefix:
First Name:XIAOHUA
Middle Name:
Last Name:CHENG
Suffix:
Gender:M
Credentials:ACUPUNCTURE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19237 E COLIMA RD
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-3055
Mailing Address - Country:US
Mailing Address - Phone:626-581-7898
Mailing Address - Fax:626-581-7898
Practice Address - Street 1:19237 E COLIMA RD .
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-3055
Practice Address - Country:US
Practice Address - Phone:626-581-7898
Practice Address - Fax:626-581-7898
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC5608171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA711025442OtherEIN