Organization Active NPI

Xiao Hua Wan Inc

  • Internal Medicine Physician
  • Lancaster, CA
National Provider Identifier
1518324672
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A11881 Issued in CA
Legal business name
XIAO HUA WAN INC
Practice address
44316 Copper Moon LN
Lancaster, CA 93536-2481
Phone
(626) 688-3568
NPI assigned
Jan 20, 2016
Last updated
Jan 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Xiao Hua Wan, D.O.
Title
President
Phone
(626) 688-3568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 20A11881 CA Primary

Addresses

Primary practice location

44316 Copper Moon LN
Lancaster, CA 93536-2481

Mailing address

44316 Copper Moon LN
Lancaster, CA 93536-2481

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1518324672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44316 COPPER MOON LN",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935362481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44316 COPPER MOON LN",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935362481",
            "telephone_number": "626-688-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XIAO HUA WAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "WAN",
        "authorized_official_first_name": "XIAO HUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-688-3568",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A11881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.