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NPI Code Detail

MEDICARE: MR. VANSAN XIONG

MEDICARE: MR. VANSAN 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
11041C0700XClinical Social Worker105186CA

General Provider Information

NPI Number : 1720145782
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. VANSAN XIONG
Provider Business Mailing Address
First Line : 1209 S HUGHES AVE
Second Line :
City : FRESNO
State : CA
Zip : 93706-2321
Country : US
Telephone Number : 559-270-5863
Fax Number :
Provider Business Practice Location Address
First Line : 1209 S HUGHES AVE
Second Line :
City : FRESNO
State : CA
Zip : 93706-2321
Country : US
Telephone Number : 559-347-7627
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2007
Last Update Date : 04/10/2026

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Directions to “ MR. VANSAN XIONG ” Practice Location

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