MEDICARE: DR. LILLIAN YONSHIN HSU M.D.

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
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	A119471	CA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207RP1001X	Pulmonary Disease Physician	A119471	CA

General Provider Information

NPI Number	:	1942518691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LILLIAN YONSHIN HSU M.D.

Provider Business Mailing Address
First Line	:	8641 WILSHIRE BLVD STE 210
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2920
Country	:	US
Telephone Number	:	310-855-7002
Fax Number	:	310-855-7003

Provider Business Practice Location Address
First Line	:	8641 WILSHIRE BLVD STE 210
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2920
Country	:	US
Telephone Number	:	310-855-7002
Fax Number	:	310-855-7003

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2010
Last Update Date	:	07/05/2019

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