Healthcare Provider Details

I. General information

NPI: 1720530942
Provider Name (Legal Business Name): KAREN HSU DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2016
Last Update Date: 11/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9675 BRIGHTON WAY STE 250
BEVERLY HILLS CA
90210-5100
US

IV. Provider business mailing address

9675 BRIGHTON WAY STE 250
BEVERLY HILLS CA
90210-5100
US

V. Phone/Fax

Practice location:
  • Phone: 310-278-5337
  • Fax:
Mailing address:
  • Phone: 310-278-5337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberPT291864
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: