Healthcare Provider Details

I. General information

NPI: 1184374100
Provider Name (Legal Business Name): CHRISTINE XU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4860 Y ST
SACRAMENTO CA
95817-2307
US

IV. Provider business mailing address

4650 W SUNSET BLVD # 88
LOS ANGELES CA
90027-6062
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-6602
  • Fax:
Mailing address:
  • Phone: 323-361-1860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA191082
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: