Provider Demographics
NPI:1619381779
Name:ENGLE, MICHELLE YIXIAO (MD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:YIXIAO
Last Name:ENGLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:MICHELLE
Other - Middle Name:YIXIAO
Other - Last Name:WANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:960 N SAN ANTONIO RD STE 101
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1346
Mailing Address - Country:US
Mailing Address - Phone:650-498-9000
Mailing Address - Fax:
Practice Address - Street 1:960 N SAN ANTONIO RD STE 101
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022
Practice Address - Country:US
Practice Address - Phone:650-498-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA139134207QH0002X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine