MEDICARE: XINYU BU L.AC

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	19992	CA

General Provider Information

NPI Number	:	1295590560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XINYU BU L.AC

Provider Business Mailing Address
First Line	:	16708 E GREENHAVEN ST
Second Line	:
City	:	COVINA
State	:	CA
Zip	:	91722-1126
Country	:	US
Telephone Number	:	626-228-5676
Fax Number	:	626-608-2393

Provider Business Practice Location Address
First Line	:	3675 HUNTINGTON DR STE 205
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-5645
Country	:	US
Telephone Number	:	626-228-5676
Fax Number	:	626-608-2393

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

Provider Enumeration Date	:	02/15/2024
Last Update Date	:	04/16/2026

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Directions to “ XINYU BU L.AC” Practice Location

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