Individual
HAIYAN XU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
416 W LAS TUNAS DR STE 201, SAN GABRIEL, CA 91776-1236
(626) 389-8448
Mailing address
416 W LAS TUNAS DR STE 201, SAN GABRIEL, CA 91776-1236
(626) 389-8448
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95166431
CA
363L00000X
Nurse Practitioner
Primary
95025441
CA
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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