Provider Demographics
NPI:1790032035
Name:XING CLINIC
Entity Type:Organization
Organization Name:XING CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZIYONG
Authorized Official - Middle Name:
Authorized Official - Last Name:KE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:626-285-0588
Mailing Address - Street 1:919 E LAS TUNAS DR
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-1640
Mailing Address - Country:US
Mailing Address - Phone:626-285-0588
Mailing Address - Fax:626-291-5658
Practice Address - Street 1:919 E LAS TUNAS DR
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-1640
Practice Address - Country:US
Practice Address - Phone:626-285-0588
Practice Address - Fax:626-291-5658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-06
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty