Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | A70826 | CA |
NPI | 1285681007 |
---|---|
Provider Name | Anlin Xu |
First Address | San Jose, CA 95128-1729 |
Second Address | San Jose, CA 95128-1729 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 25/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BX7152731 | DEA (01) | CA |
L11753 | (02) |