| Jun Xu Md Inc | |
|
638 W Duarte Rd Ste 15 Arcadia CA 91007 | |
| (310) 309-9250 | |
| Not Available |
| Full Name | Jun Xu Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 638 W Duarte Rd, Arcadia, California |
| Authorized Official Name and Position | Jun Xu (MD/PRESIDENT) |
| Authorized Official Contact | 6267015882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jun Xu Md Inc 638 W Duarte Rd Ste 15 Arcadia CA 91007-7616 Ph: (626) 701-5882 | Jun Xu Md Inc 638 W Duarte Rd Ste 15 Arcadia CA 91007 Ph: (310) 309-9250 |
| NPI Number | 1114370863 |
|---|---|
| Provider Enumeration Date | 07/18/2016 |
| Last Update Date | 02/29/2020 |
| Medicare PECOS PAC ID | 1254619133 |
|---|---|
| Medicare Enrollment ID | O20161027001087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114370863 | NPI | - | NPPES |
| 1114370863 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 133230 (California) | Primary |
| Provider Name | Jun Xu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497010391 PECOS PAC ID: 0244547800 Enrollment ID: I20150914002636 |
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