Provider Demographics
NPI:1124019138
Name:XU, HAIXIN NORMAN (MD)
Entity Type:Individual
Prefix:
First Name:HAIXIN
Middle Name:NORMAN
Last Name:XU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:H. NORMAN
Other - Middle Name:
Other - Last Name:XU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, INC
Mailing Address - Street 1:7111 WINNETKA AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91306-3646
Mailing Address - Country:US
Mailing Address - Phone:818-888-3123
Mailing Address - Fax:818-888-3331
Practice Address - Street 1:7111 WINNETKA AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91306-3646
Practice Address - Country:US
Practice Address - Phone:818-888-3123
Practice Address - Fax:818-888-3331
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA66736207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine