MEDICARE: XIAO HONG YAO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	17552	CA

General Provider Information

NPI Number	:	1073025540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XIAO HONG YAO

Provider Business Mailing Address
First Line	:	3589 LOCHINVAR AVE APT 4
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95051-5121
Country	:	US
Telephone Number	:	650-743-1782
Fax Number	:

Provider Business Practice Location Address
First Line	:	3589 LOCHINVAR AVE APT 4
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95051-5121
Country	:	US
Telephone Number	:	650-743-1782
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2017
Last Update Date	:	10/24/2017

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Directions to “ XIAO HONG YAO ” Practice Location

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