Provider Demographics
NPI:1841425378
Name:XIE, YI (MD)
Entity Type:Individual
Prefix:
First Name:YI
Middle Name:
Last Name:XIE
Suffix:
Gender:F
Credentials:MD
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 N. STATE ST. CT ROOM A7E 7TH FLR.
Mailing Address - Street 2:LAC USC MEDICAL CENTER DEPARTMENT OF PATHOLOGY
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033
Mailing Address - Country:US
Mailing Address - Phone:323-409-7148
Mailing Address - Fax:323-441-8193
Practice Address - Street 1:1200 N. STATE ST. CT ROOM A7E 7TH FLR.
Practice Address - Street 2:LAC USC MEDICAL CENTER DEPARTMENT OF PATHOLOGY
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033
Practice Address - Country:US
Practice Address - Phone:323-409-7148
Practice Address - Fax:323-441-8193
Is Sole Proprietor?:No
Enumeration Date:2009-05-28
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA120862207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine