Healthcare Provider Details

I. General information

NPI: 1508522426
Provider Name (Legal Business Name): XINYUAN HU PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELENE HU PA

II. Dates (important events)

Enumeration Date: 11/15/2021
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18605 GALE AVE STE 238
CITY OF INDUSTRY CA
91748-1361
US

IV. Provider business mailing address

981 W FOOTHILL BLVD
CLAREMONT CA
91711-3304
US

V. Phone/Fax

Practice location:
  • Phone: 909-667-7769
  • Fax:
Mailing address:
  • Phone: 909-667-7769
  • Fax: 909-667-7745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: