Healthcare Provider Details

I. General information

NPI: 1336805589
Provider Name (Legal Business Name): ZHENGFENG XIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2021
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 LA CASA VIA STE 104A
WALNUT CREEK CA
94598-3013
US

IV. Provider business mailing address

735 FARM HILL CT
WALNUT CREEK CA
94598-4646
US

V. Phone/Fax

Practice location:
  • Phone: 925-201-5123
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number3449
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: