Provider Demographics
NPI:1508522426
Name:HU, XINYUAN (PA)
Entity type:Individual
Prefix:
First Name:XINYUAN
Middle Name:
Last Name:HU
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:ELENE
Other - Middle Name:
Other - Last Name:HU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA
Mailing Address - Street 1:1112 MONTANA AVE STE 912
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-1652
Mailing Address - Country:US
Mailing Address - Phone:310-205-3555
Mailing Address - Fax:310-205-3553
Practice Address - Street 1:1505 WILSON TER STE 240
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4033
Practice Address - Country:US
Practice Address - Phone:310-205-3555
Practice Address - Fax:310-205-3553
Is Sole Proprietor?:No
Enumeration Date:2021-11-15
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant