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NPI Code Detail

MEDICARE: KYM TONG XIONG

MEDICARE: KYM TONG 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 Coordinator
2101Y00000XCounselor
3172V00000XCommunity Health WorkerCA
4172V00000XCommunity Health Worker
5373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1689737165
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYM TONG XIONG
Provider Business Mailing Address
First Line : 4468 KINGS CANYON ROAD FRESNO, CA 93702
Second Line : 4441 E. KINGS CANYON RD.
City : FRESNO
State : CA
Zip : 93702-3604
Country : US
Telephone Number : 559-600-4099
Fax Number :
Provider Business Practice Location Address
First Line : 4468 E CESAR CHAVEZ BLVD BLDG 340
Second Line :
City : FRESNO
State : CA
Zip : 93702-3605
Country : US
Telephone Number : 559-287-6755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 05/29/2025

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Directions to “ KYM TONG XIONG ” Practice Location

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