Healthcare Provider Details

I. General information

NPI: 1841553195
Provider Name (Legal Business Name): SANDY WAN-YI HSU LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2012
Last Update Date: 07/30/2026
Certification Date:
Deactivation Date: 10/26/2023
Reactivation Date: 07/30/2026

III. Provider practice location address

320 S GARFIELD AVE STE 202
ALHAMBRA CA
91801
US

IV. Provider business mailing address

320 S GARFIELD AVE STE 202
ALHAMBRA CA
91801-3887
US

V. Phone/Fax

Practice location:
  • Phone: 626-598-3883
  • Fax: 213-253-0883
Mailing address:
  • Phone: 626-598-3883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW69209
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLCSW69209
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: