Individual ProviderTom Yifu XiaPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address1200 N State St, Suite A7d, Los Angeles, CA 90033-1029(323) 409-5555PECOS EnrollmentBased on the most recent information from CMS, provider Tom Yifu Xia does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1255863080Provider TypeIndividualFull NameXia, Tom YifuCredentialM.D.GenderMaleSole ProprietorYesEnumeration Date3/30/2017Last Updated4/26/2021Contact InformationPractice LocationPractice Address1200 N State St, Suite A7d, Los Angeles, CA 90033-1029Phone(323) 409-5555FaxUnlisted FaxMailing LocationMailing Address1200 N State St, Suite A7d, Los Angeles, CA 90033-1029Phone(323) 409-5555FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense160414CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer