Individual
XU YAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 S BUENA VISTA ST, BURBANK, CA 91505-4809
(818) 847-6022
(818) 847-6029
Mailing address
2219 W OLIVE AVE, #219, BURBANK, CA 91506-2625
(818) 847-6022
(818) 847-6029
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A76618
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A766180
—
CA
Enumeration date
09/13/2005
Last updated
07/14/2017
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