Individual
CONNIE TIEN XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-5806
(626) 851-1011
Mailing address
1101 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-5808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A141062
CA
Other
Enumeration date
04/01/2014
Last updated
12/15/2021
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