MEDICARE: RUNXIANG XU

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	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1083429484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUNXIANG XU

Provider Business Mailing Address
First Line	:	726 LARCH AVE
Second Line	:
City	:	SOUTH SAN FRANCISCO
State	:	CA
Zip	:	94080-1523
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 BROADWAY STE 200
Second Line	:
City	:	MILLBRAE
State	:	CA
Zip	:	94030-1978
Country	:	US
Telephone Number	:	415-316-7858
Fax Number	:

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

Provider Enumeration Date	:	02/12/2025
Last Update Date	:	02/12/2025

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Directions to “ RUNXIANG XU ” Practice Location

Language	Start Address	Practice Location

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