Individual
DR. LISA YUN XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5010 CAMPUS DR STE 120, NEWPORT BEACH, CA 92660-2120
(949) 773-4784
Mailing address
5010 CAMPUS DR STE 120, NEWPORT BEACH, CA 92660-2120
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
01068724A
IN
207N00000X
Dermatology Physician
Primary
D75158
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061198100
—
MD
Enumeration date
05/29/2007
Last updated
10/19/2023
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