MEDICARE: XIAOYIN WANG

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	2251N0400X	Neurology Physical Therapist	291888	CA

General Provider Information

NPI Number	:	1578013561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XIAOYIN WANG

Provider Business Mailing Address
First Line	:	50 LANSING ST UNIT 508
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94105-4684
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 LANSING ST UNIT 508
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94105-4684
Country	:	US
Telephone Number	:	415-350-1184
Fax Number	:

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

Provider Enumeration Date	:	10/13/2016
Last Update Date	:	01/17/2022

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Directions to “ XIAOYIN WANG ” Practice Location

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