MEDICARE: MS. XIAOHONG S SHAO L.AC.,OMD

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	AC5232	CA

General Provider Information

NPI Number	:	1811094436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. XIAOHONG S SHAO L.AC.,OMD

Provider Business Mailing Address
First Line	:	23521 PASEO DE VALENCIA STE 308
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-3144
Country	:	US
Telephone Number	:	949-293-1530
Fax Number	:

Provider Business Practice Location Address
First Line	:	23521 PASEO DE VALENCIA STE 308
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-3144
Country	:	US
Telephone Number	:	949-293-1530
Fax Number	:

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

Provider Enumeration Date	:	09/17/2006
Last Update Date	:	02/05/2026

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