Provider Demographics
NPI:1639249105
Name:XIAO, YAN PING (LAC)
Entity Type:Individual
Prefix:DR
First Name:YAN
Middle Name:PING
Last Name:XIAO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 FRANKLIN ST # 202
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-4202
Mailing Address - Country:US
Mailing Address - Phone:510-893-3928
Mailing Address - Fax:
Practice Address - Street 1:800 FRANKLIN ST # 202
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-4202
Practice Address - Country:US
Practice Address - Phone:510-893-3928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC5741171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist