Healthcare Provider Details

I. General information

NPI: 1710326889
Provider Name (Legal Business Name): KUN XIAO MD MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2013
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20130 LAKE CHABOT RD STE 307
CASTRO VALLEY CA
94546-5340
US

IV. Provider business mailing address

20130 LAKE CHABOT RD STE 307
CASTRO VALLEY CA
94546-5340
US

V. Phone/Fax

Practice location:
  • Phone: 510-204-8383
  • Fax: 510-506-7729
Mailing address:
  • Phone: 510-204-8383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberC203998
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number70244
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: