Healthcare Provider Details

I. General information

NPI: 1558559757
Provider Name (Legal Business Name): NORBEE XIONG MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: BEE XIONG MSW

II. Dates (important events)

Enumeration Date: 10/12/2007
Last Update Date: 05/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 STOCKTON BLVD # 100
SACRAMENTO CA
95817-1337
US

IV. Provider business mailing address

2130 STOCKTON BLVD # 100
SACRAMENTO CA
95817-1337
US

V. Phone/Fax

Practice location:
  • Phone: 916-875-0969
  • Fax:
Mailing address:
  • Phone: 916-875-0969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: