Provider Demographics
NPI:1295698629
Name:XIONG, CHONG HER
Entity type:Individual
Prefix:
First Name:CHONG
Middle Name:HER
Last Name:XIONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 VILLA AVE STE 28
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-7604
Mailing Address - Country:US
Mailing Address - Phone:559-770-9222
Mailing Address - Fax:
Practice Address - Street 1:516 VILLA AVE STE 28
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-7604
Practice Address - Country:US
Practice Address - Phone:559-770-9222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-03
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No1744G0900XOther Service ProvidersSpecialistGraphics Designer