Individual
PROF. DAN XIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LA.C.
Contact information
Practice address
515 E COMMONWEALTH AVE, FULLERTON, CA 92832-2020
(714) 817-7118
Mailing address
753 BOWCREEK DR, DIAMOND BAR, CA 91765-1885
(310) 365-7676
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
AC 6681
CA
133N00000X
Nutritionist
AC 6681
CA
207Q00000X
Family Medicine Physician
Primary
AC 6681
CA
213E00000X
Podiatrist
AC 6681
CA
363A00000X
Physician Assistant
AC 6681
CA
Other
Enumeration date
04/16/2011
Last updated
04/16/2011
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