Provider Demographics
NPI:1942568878
Name:WU, XINYANG
Entity Type:Individual
Prefix:
First Name:XINYANG
Middle Name:
Last Name:WU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 N GARFIELD AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-1101
Mailing Address - Country:US
Mailing Address - Phone:626-288-0698
Mailing Address - Fax:626-288-0798
Practice Address - Street 1:616 N GARFIELD AVE STE 400
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1101
Practice Address - Country:US
Practice Address - Phone:626-288-0698
Practice Address - Fax:626-288-0798
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-28
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 14821171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist