Healthcare Provider Details

I. General information

NPI: 1992673669
Provider Name (Legal Business Name): XIA TCM ACUPUNCTURE CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2025
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 LA CASA VIA STE 106
WALNUT CREEK CA
94598-3013
US

IV. Provider business mailing address

108 LA CASA VIA STE 106
WALNUT CREEK CA
94598-3013
US

V. Phone/Fax

Practice location:
  • Phone: 925-201-5123
  • Fax: 510-883-3535
Mailing address:
  • Phone: 925-201-5123
  • Fax: 510-883-3535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ZHENGFENG XIA
Title or Position: CEO
Credential:
Phone: 925-201-5123