Provider Demographics
NPI:1851326672
Name:SUN, XIHUA (MD ,MS)
Entity Type:Individual
Prefix:DR
First Name:XIHUA
Middle Name:
Last Name:SUN
Suffix:
Gender:M
Credentials:MD ,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 S MONROE ST
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-5107
Mailing Address - Country:US
Mailing Address - Phone:408-557-0550
Mailing Address - Fax:408-248-4591
Practice Address - Street 1:361 S MONROE ST
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-5107
Practice Address - Country:US
Practice Address - Phone:408-557-0550
Practice Address - Fax:408-248-4591
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA55886174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A558861OtherMEDICARE ID
CAG75467Medicare UPIN