Provider Demographics
NPI:1649506379
Name:XIAO, MINGQIANG (LAC)
Entity type:Individual
Prefix:MR
First Name:MINGQIANG
Middle Name:
Last Name:XIAO
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3317 DEL MAR AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-2386
Mailing Address - Country:US
Mailing Address - Phone:626-246-4639
Mailing Address - Fax:626-389-6250
Practice Address - Street 1:9051 VALLEY BLVD
Practice Address - Street 2:SUITE 108
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-1917
Practice Address - Country:US
Practice Address - Phone:626-282-2588
Practice Address - Fax:626-389-6250
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC 13162171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist