Provider Demographics
NPI:1285365478
Name:WANG, XINYI (MSW)
Entity type:Individual
Prefix:
First Name:XINYI
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:STACY
Other - Middle Name:
Other - Last Name:WANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2580 CALIFORNIA ST APT 2304
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-2772
Mailing Address - Country:US
Mailing Address - Phone:917-376-6236
Mailing Address - Fax:
Practice Address - Street 1:2255 POST ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3427
Practice Address - Country:US
Practice Address - Phone:415-885-7246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-20
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA355122084P2900X, 207LP2900X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
No101Y00000XBehavioral Health & Social Service ProvidersCounselor