Provider Demographics
NPI:1154352896
Name:HAO, XIAOHONG (LAC)
Entity type:Individual
Prefix:MRS
First Name:XIAOHONG
Middle Name:
Last Name:HAO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MRS
Other - First Name:HELEN
Other - Middle Name:
Other - Last Name:HAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3327 SAN GABRIEL BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-2584
Mailing Address - Country:US
Mailing Address - Phone:626-571-8588
Mailing Address - Fax:
Practice Address - Street 1:3327 SAN GABRIEL BLVD STE A
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-2584
Practice Address - Country:US
Practice Address - Phone:626-571-8588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC5047171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist