{
"Npi": {
"NPI": "1770560013",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HU",
"FirstName": "CHARLENE",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HU",
"OtherFirstName": "XIAO LING",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MD",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "5575 W LAS POSITAS BLVD STE 330",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PLEASANTON",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94588-5804",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "650-723-6469",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5575 W LAS POSITAS BLVD STE 330",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PLEASANTON",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "94588-5804",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "650-723-6469",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/28/2005",
"LastUpdateDate": "10/05/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2084N0400X",
"TaxonomyName": "Neurology Physician",
"LicenseNumber": "A79330",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}