Individual
XU HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
341 16TH PL, COSTA MESA, CA 92627-3246
(949) 200-9378
Mailing address
341 16TH PL, COSTA MESA, CA 92627-3246
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
306006220
CA
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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