Healthcare Provider Details

I. General information

NPI: 1851214092
Provider Name (Legal Business Name): XIN JIN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2243 SEGUNDO CT APT 4
PLEASANTON CA
94588-8120
US

IV. Provider business mailing address

2243 SEGUNDO CT APT 4
PLEASANTON CA
94588-8120
US

V. Phone/Fax

Practice location:
  • Phone: 510-413-3307
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: