| Dr Lisa Yun Xu, MD | |
|
5010 Campus Dr Ste 120, Newport Beach, CA 92660-2120 | |
| (949) 773-4784 | |
| Not Available |
| Full Name | Dr Lisa Yun Xu |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 5010 Campus Dr Ste 120, Newport Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013118256 | NPI | - | NPPES |
| 061198100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 01068724A (Indiana) | Secondary |
| 207N00000X | Dermatology | D75158 (Maryland) | Primary |
| Entity Name | United Medical Doctors |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770559981 PECOS PAC ID: 2961305651 Enrollment ID: O20040129001069 |
| Entity Name | Md Solutions Medical Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902837735 PECOS PAC ID: 1759379993 Enrollment ID: O20040505000671 |
| Entity Name | Southern California Dermatology, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386629905 PECOS PAC ID: 3678645918 Enrollment ID: O20080702000305 |
| Entity Name | Daniel Gene Kolder Md A California Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598006652 PECOS PAC ID: 0143466870 Enrollment ID: O20130424000796 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Yun Xu, MD 5010 Campus Dr Ste 120, Newport Beach, CA 92660-2120 Ph: () - | Dr Lisa Yun Xu, MD 5010 Campus Dr Ste 120, Newport Beach, CA 92660-2120 Ph: (949) 773-4784 |
Annette Mcauley, RN Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1401 Avocado Ave, Ste 703, Newport Beach, CA 92660 Phone: 949-760-0190 Fax: 949-760-0439 | |
Joseph George Kamel, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 360 San Miguel Dr Ste 501, Newport Beach, CA 92660 Phone: 949-720-1170 | |
Laila M. Elkeeb, MD Dermatology Medicare: Medicare Enrolled Practice Location: 20301 Sw Birch St, 100, Newport Beach, CA 92660 Phone: 949-251-1502 Fax: 949-251-1522 | |
Dr. Cynthia Chen Lazzaro, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1617 Westcliff Dr, Suite 100, Newport Beach, CA 92660 Phone: 949-515-4111 | |
Samuel R Peterson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 360 San Miguel Dr Ste 309, Newport Beach, CA 92660 Phone: 949-640-0434 | |
Nancy Lee Silverberg, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1401 Avocado Ave, Ste 703, Newport Beach, CA 92660 Phone: 949-760-0190 Fax: 949-760-0439 |