Individual
JESSIE XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 MOWRY AVE, FREMONT, CA 94538-1716
(510) 797-1111
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43164-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
A69409
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A69409
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A694090
—
CA
Enumeration date
04/04/2006
Last updated
12/30/2011
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