Provider Demographics
NPI:1215065545
Name:XU, JUNHUI L (LAC)
Entity type:Individual
Prefix:
First Name:JUNHUI
Middle Name:L
Last Name:XU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:JUNHUI
Other - Middle Name:
Other - Last Name:XU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:783 RINCON AVE
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-6524
Mailing Address - Country:US
Mailing Address - Phone:925-455-4938
Mailing Address - Fax:925-455-4938
Practice Address - Street 1:783 RINCON AVE
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-6524
Practice Address - Country:US
Practice Address - Phone:925-455-4938
Practice Address - Fax:925-455-4938
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC004218171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC004218OtherACUPUNCTRIST