Healthcare Provider Details

I. General information

NPI: 1295640373
Provider Name (Legal Business Name): GABRIELLE XIAO L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11350 MCCORMICK RD STE 101
HUNT VALLEY MD
21031-1002
US

IV. Provider business mailing address

4360 COLUMBIA RD
ELLICOTT CITY MD
21042-5910
US

V. Phone/Fax

Practice location:
  • Phone: 443-353-5990
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberU03293
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: