MEDICARE: XIAO CHUAN HEALTH CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	16559	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013421585
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XIAO CHUAN HEALTH CENTER

Provider Business Mailing Address
First Line	:	9080 TELSTAR AVE STE 302
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91731-2840
Country	:	US
Telephone Number	:	626-329-2515
Fax Number	:

Provider Business Practice Location Address
First Line	:	9080 TELSTAR AVE STE 302
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91731-2840
Country	:	US
Telephone Number	:	626-329-2515
Fax Number	:

Authorized Official
Title or Position	:	PROFESSOR
Name	:	DR. XIAOCHUAN WANG
Credential	:
Telephone Number	:	626-329-2515

Provider Enumeration Date	:	11/20/2017
Last Update Date	:	06/16/2018

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