Individual
AMY XING-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 INDIANA AVE, 100, RIVERSIDE, CA 92506-4269
(951) 784-0089
(951) 784-0289
Mailing address
6800 INDIANA AVE, 100, RIVERSIDE, CA 92506-4269
(951) 784-0089
(951) 784-0289
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC3971
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC0039710
MEDICAL
CA
01
—
ZZZ13585Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
10/24/2006
Last updated
07/08/2007
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