CA Wall License 3577 Information
| Name | Xiao Xu |
| License Number | 3577 |
| Individual or Organization | O |
| Address | 12381 Wilshire Blvd #104
Los Angeles, CA 90025 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 9/21/1992 |
| License Expiration Date | 8/31/2024 |
| License Type | Wall License |
| Agency | Acupuncture Board |