Provider Demographics
NPI:1073713616
Name:HSIEH, XAVIER JAJIN (DO)
Entity Type:Individual
Prefix:DR
First Name:XAVIER
Middle Name:JAJIN
Last Name:HSIEH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18605 GALE AVE
Mailing Address - Street 2:SUITE 240
Mailing Address - City:CITY OF INDUSTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91748-1356
Mailing Address - Country:US
Mailing Address - Phone:626-581-1282
Mailing Address - Fax:888-491-5175
Practice Address - Street 1:18605 GALE AVE
Practice Address - Street 2:SUITE 240
Practice Address - City:CITY OF INDUSTRY
Practice Address - State:CA
Practice Address - Zip Code:91748-1356
Practice Address - Country:US
Practice Address - Phone:626-581-1282
Practice Address - Fax:888-491-5175
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A10696207Q00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice