MEDICARE: XIPING WU LIC. A.C, PHD

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	7840	CA

General Provider Information

NPI Number	:	1508005943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XIPING WU LIC. A.C, PHD

Provider Business Mailing Address
First Line	:	32322 COAST HWY STE C
Second Line	:
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-6785
Country	:	US
Telephone Number	:	949-499-0666
Fax Number	:	949-415-1165

Provider Business Practice Location Address
First Line	:	32322 COAST HWY STE C
Second Line	:
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-6785
Country	:	US
Telephone Number	:	949-499-0666
Fax Number	:	949-415-1165

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

Provider Enumeration Date	:	02/09/2009
Last Update Date	:	02/09/2009

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