Healthcare Provider Details

I. General information

NPI: 1982282356
Provider Name (Legal Business Name): ERIC HSU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W HUNTINGTON DR
ARCADIA CA
91007-3402
US

IV. Provider business mailing address

19036 TERESA WAY
CERRITOS CA
90703-7126
US

V. Phone/Fax

Practice location:
  • Phone: 626-898-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA196011
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: