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NPI Code Detail

MEDICARE: DR. LEON HSUEH MD

MEDICARE: DR. LEON HSUEH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianLP04438RI
2207RI0200XInfectious Disease Physician036164290IL

General Provider Information

NPI Number : 1720572506
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEON HSUEH MD
Provider Business Mailing Address
First Line : 10833 LE CONTE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90095-1688
Country : US
Telephone Number : 310-825-8373
Fax Number : 310-825-3632
Provider Business Practice Location Address
First Line : 13755 CICERO AVE
Second Line :
City : CRESTWOOD
State : IL
Zip : 60418-1824
Country : US
Telephone Number : 708-385-2400
Fax Number : 708-385-7840
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2018
Last Update Date : 11/01/2024

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