Healthcare Provider Details

I. General information

NPI: 1811820145
Provider Name (Legal Business Name): XIAN GUO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 W CAMPBELL AVE STE D36
CAMPBELL CA
95008-1041
US

IV. Provider business mailing address

900 PEPPER TREE LN APT 1013
SANTA CLARA CA
95051-5280
US

V. Phone/Fax

Practice location:
  • Phone: 341-231-9301
  • Fax:
Mailing address:
  • Phone: 341-231-9301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: