Provider Demographics
NPI:1922382811
Name:FORET, XIAOFENG HU (LAC)
Entity Type:Individual
Prefix:MRS
First Name:XIAOFENG
Middle Name:HU
Last Name:FORET
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2375 ZANKER RD
Mailing Address - Street 2:SUITE 255
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-1141
Mailing Address - Country:US
Mailing Address - Phone:408-348-5149
Mailing Address - Fax:408-383-9001
Practice Address - Street 1:2375 ZANKER RD
Practice Address - Street 2:SUITE 255
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-1141
Practice Address - Country:US
Practice Address - Phone:408-348-5149
Practice Address - Fax:408-383-9001
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-10
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC 14454171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist