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NPI Code Detail

MEDICARE: SARAH XIONG

MEDICARE:   SARAH  XIONG
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
1311Z00000XCustodial Care Facility342701130CA

General Provider Information

NPI Number : 1629754973
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH XIONG
Provider Business Mailing Address
First Line : 7300 GREENVILLE PL
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94552-5257
Country : US
Telephone Number : 510-414-7828
Fax Number :
Provider Business Practice Location Address
First Line : 9823 GAVIRATE WAY
Second Line :
City : ELK GROVE
State : CA
Zip : 95757-3035
Country : US
Telephone Number : 510-916-9065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2023
Last Update Date : 06/22/2023

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Directions to “ SARAH XIONG ” Practice Location

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