Individual ProviderYidi XuInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address26357 Mcbean Pkwy, Valencia, CA 91355-4488(661) 222-2600(818) 837-5559PECOS EnrollmentBased on the most recent information from CMS, provider Yidi Xu is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 10:04 AM.Profile DetailsProvider ID1932498698Provider TypeIndividualFull NameXu, YidiCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date4/4/2011Last Updated1/7/2015Contact InformationPractice LocationPractice Address26357 Mcbean Pkwy, Valencia, CA 91355-4488Phone(661) 222-2600FaxUnlisted FaxMailing LocationMailing AddressPO Box 9602, Mission Hills, CA 91346-9602Phone(818) 837-5559Fax(818) 792-4793Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA123375CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID00A1233750DescriptionMedicaidIssuerUnlistedCalifornia