MEDICARE: MS. XIANGPING XIE

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	17775	CA

General Provider Information

NPI Number	:	1407368368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. XIANGPING XIE

Provider Business Mailing Address
First Line	:	1745 NANTUCKET CIR APT 361
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95054-3820
Country	:	US
Telephone Number	:	408-398-9896
Fax Number	:

Provider Business Practice Location Address
First Line	:	1520 SOUTHWEST EXPY APT 141
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95126-3984
Country	:	US
Telephone Number	:	408-398-9896
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2017
Last Update Date	:	11/01/2017

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