Provider Demographics
NPI:1689991440
Name:FU, XUELI (ACUPUNCTURIST)
Entity Type:Individual
Prefix:DR
First Name:XUELI
Middle Name:
Last Name:FU
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5745 N CHARLOTTE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91775-2462
Mailing Address - Country:US
Mailing Address - Phone:626-215-3353
Mailing Address - Fax:626-614-0581
Practice Address - Street 1:5745 N CHARLOTTE AVE
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91775-2462
Practice Address - Country:US
Practice Address - Phone:626-215-3353
Practice Address - Fax:626-614-0581
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11203171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist