Provider Demographics
NPI:1316256209
Name:XIE, ZHIHONG (AC)
Entity type:Individual
Prefix:
First Name:ZHIHONG
Middle Name:
Last Name:XIE
Suffix:
Gender:F
Credentials:AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16692 ORANGEWIND LN
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-6626
Mailing Address - Country:US
Mailing Address - Phone:951-617-1189
Mailing Address - Fax:
Practice Address - Street 1:17671 IRVINE BLVD STE 105A
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3128
Practice Address - Country:US
Practice Address - Phone:951-617-1189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-27
Last Update Date:2024-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171100000X
CAAC 7249171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist