Xiong, Judy

Xiong, Judy is an individual health care provider with primary practice located at 568 E Herndon Ave Ste 201 , Fresno CA 93720-2989. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Xiong, Judy can be contacted via phone (559) 228-6600.

Contact Information

Primary practice address
568 E Herndon Ave Ste 201 Fresno CA 93720-2989
Phone: (559) 228-6600
Fax: (559) 226-3709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95018688 California
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95018688 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 9501688 California

Profile Details

NPI number 1669712089
LBN Legal business name Xiong, Judy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2013
Last updated Jun 15th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669712089 NPPES
California MEDICAID 10AQ

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