Healthcare Provider Details

I. General information

NPI: 1760622153
Provider Name (Legal Business Name): JOANNA JIA HUA XIE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JIA HUA XIE M.D.

II. Dates (important events)

Enumeration Date: 02/25/2009
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 N ROSE AVE
OXNARD CA
93030-3722
US

IV. Provider business mailing address

1600 N ROSE AVE DEPARTMENT OF PAHTHOLOGY
OXNARD CA
93030-3722
US

V. Phone/Fax

Practice location:
  • Phone: 805-988-2708
  • Fax:
Mailing address:
  • Phone: 805-988-2708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberA103447
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: