Provider Demographics
NPI:1063380509
Name:DO, XUAN DUY (XD)
Entity type:Individual
Prefix:
First Name:XUAN DUY
Middle Name:
Last Name:DO
Suffix:
Gender:F
Credentials:XD
Other - Prefix:
Other - First Name:DUY
Other - Middle Name:XUAN
Other - Last Name:DO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DD
Mailing Address - Street 1:1737 FILLMORE ST APT 3
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-3853
Mailing Address - Country:US
Mailing Address - Phone:707-770-4155
Mailing Address - Fax:
Practice Address - Street 1:1737 FILLMORE ST APT 3
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-3853
Practice Address - Country:US
Practice Address - Phone:707-770-4155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician