JUN XU MD INC; NPI #1114370863

Contact Information

JUN XU MD INC

638 W DUARTE RD
STE 15
ARCADIA, CA 91007

Phone: 310-309-9250
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for JUN XU MD INC

NPI Number 1114370863

LBN Legal business name JUN XU MD INC

Authorized official JUN XU - (MD/PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/18/2016

Last updated 02/29/2020 - About 6 years ago

Identifiers

CA	License #	133230
CA	Medicaid	1114370863

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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