Individual
MR. KHENG XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 W I ST STE A, LOS BANOS, CA 93635-3459
(209) 827-9999
Mailing address
707 NORTHWOOD DR, MERCED, CA 95348-2548
(215) 589-8255
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA21909
CA
Other
Enumeration date
10/10/2011
Last updated
01/22/2020
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