Healthcare Provider Details

I. General information

NPI: 1841357910
Provider Name (Legal Business Name): XIAOYAN ZHU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

987 E WILLIAM ST #B
SAN JOSE CA
95116-3109
US

IV. Provider business mailing address

10 ANGELA DR
LOS ALTOS CA
94022-3002
US

V. Phone/Fax

Practice location:
  • Phone: 408-297-8308
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC8722
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: