Provider Demographics
NPI:1184942021
Name:XU, YING (ACUPUNCTURE)
Entity type:Individual
Prefix:
First Name:YING
Middle Name:
Last Name:XU
Suffix:
Gender:F
Credentials:ACUPUNCTURE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10163 PARK CIR W APT 2
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-1967
Mailing Address - Country:US
Mailing Address - Phone:408-307-7905
Mailing Address - Fax:
Practice Address - Street 1:2910 STEVENS CREEK BLVD STE 209
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2015
Practice Address - Country:US
Practice Address - Phone:408-307-7905
Practice Address - Fax:408-261-0766
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-15
Last Update Date:2010-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13595171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist