Provider Demographics
NPI:1245328327
Name:EDWARD Z XU MEDICAL INC
Entity type:Organization
Organization Name:EDWARD Z XU MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:Z
Authorized Official - Last Name:XU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-288-3992
Mailing Address - Street 1:228 N GARFIELD AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-1709
Mailing Address - Country:US
Mailing Address - Phone:626-288-3992
Mailing Address - Fax:626-288-3326
Practice Address - Street 1:228 N GARFIELD AVE STE 203
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1709
Practice Address - Country:US
Practice Address - Phone:626-288-3992
Practice Address - Fax:626-288-3326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A713140Medicaid
CAA71314OtherCAIF PHY LIC
CA$$$$$$$$$OtherSOCIAL SECURITY
CAH72400Medicare UPIN