Provider Demographics
NPI:1285786855
Name:XIANG, KUN (OMD LAC)
Entity type:Individual
Prefix:MR
First Name:KUN
Middle Name:
Last Name:XIANG
Suffix:
Gender:M
Credentials:OMD LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2001 VAN NESS AVE
Mailing Address - Street 2:#404
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-3024
Mailing Address - Country:US
Mailing Address - Phone:415-567-9990
Mailing Address - Fax:415-567-9091
Practice Address - Street 1:2001 VAN NESS AVE
Practice Address - Street 2:#404
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-3024
Practice Address - Country:US
Practice Address - Phone:415-567-9990
Practice Address - Fax:415-567-9091
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA3715171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist