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NPI Code Detail

MEDICARE: MAO LEE XIONG

MEDICARE: MAO LEE XIONG
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
1171M00000XCase Manager/Care CoordinatorCA
2225400000XRehabilitation Practitioner

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1166559878OTHERCAART NPI NUMBER

General Provider Information

NPI Number : 1083830657
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAO LEE XIONG
Provider Business Mailing Address
First Line : 2514 N WHITTIER AVE
Second Line :
City : FRESNO
State : CA
Zip : 93727-1462
Country : US
Telephone Number : 559-554-9703
Fax Number :
Provider Business Practice Location Address
First Line : 2514 N WHITTIER AVE
Second Line :
City : FRESNO
State : CA
Zip : 93727-1462
Country : US
Telephone Number : 559-554-9703
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2007
Last Update Date : 06/02/2025

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Directions to “ MAO LEE XIONG ” Practice Location

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