Healthcare Provider Details

I. General information

NPI: 1558837534
Provider Name (Legal Business Name): XIANG TCM CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2018
Last Update Date: 10/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6850 REGIONAL ST STE 190
DUBLIN CA
94568-2939
US

IV. Provider business mailing address

6850 REGIONAL ST STE 190
DUBLIN CA
94568-2939
US

V. Phone/Fax

Practice location:
  • Phone: 408-981-8661
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: WEI WANG
Title or Position: MANAGER
Credential: LA.C
Phone: 408-981-8661