{
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"IsOrgSubpart": "N",
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"OrgName": "XINMING FU, MD, INC",
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5 SARONNA",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "IRVINE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92614-5320",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "714-558-8033",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1200 N TUSTIN AVE",
"SecondLinePracticeLocationAddress": "SUITE 255",
"PracticeLocationAddressCityName": "SANTA ANA",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressTelephoneNumber": "714-558-8033",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/13/2007",
"LastUpdateDate": "12/13/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FU",
"AuthorizedOfficialFirstName": "XINMING",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "714-558-8033",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207R00000X",
"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "A70082",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}