Provider Demographics
NPI:1427276419
Name:HU, XIAOYUAN (LAC)
Entity type:Individual
Prefix:DR
First Name:XIAOYUAN
Middle Name:
Last Name:HU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:DR
Other - First Name:HELEN
Other - Middle Name:
Other - Last Name:HU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:216 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93458-5027
Mailing Address - Country:US
Mailing Address - Phone:805-928-8358
Mailing Address - Fax:
Practice Address - Street 1:216 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93458-5027
Practice Address - Country:US
Practice Address - Phone:805-928-8358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC5790171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist