Individual
DR. JASON JIN XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-5806
(626) 851-1011
Mailing address
1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-5806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A138621
CA
208M00000X
Hospitalist Physician
Primary
A138621
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB277638
MEDICARE PTAN
CA
Enumeration date
04/09/2014
Last updated
12/30/2022
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