Individual
MIMI XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 873-6181
(949) 873-0418
Mailing address
361 HOSPITAL RD STE 521, NEWPORT BEACH, CA 92663-3526
(949) 873-6181
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A192376
CA
208M00000X
Hospitalist Physician
Primary
A192376
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2021
Last updated
07/02/2024
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