NPI Code Detail JSON Logo

1902624364 NPI number — CHANGNA XU

NPI Number: 1902624364
Health Care Provider/Practitioner: CHANGNA XU

Information about “1902624364” NPI (CHANGNA XU) exists in 1902624364 in HTML format HTML  |  1902624364 in plain Text format TXT  |  1902624364 in PDF (Portable Document Format) PDF  |  1902624364 in an XML format XML  formats.

NPI Number : 1902624364 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902624364",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "XU",
    "FirstName": "CHANGNA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9037 CALLITA ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN GABRIEL",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91775-2005",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "626-241-2495",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "650 W DUARTE RD STE 209C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ARCADIA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91007-7639",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "626-241-2495",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/02/2024",
    "LastUpdateDate": "10/02/2024",
    "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": "225700000X",
        "TaxonomyName": "Massage Therapist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.