Healthcare Provider Details

I. General information

NPI: 1477843704
Provider Name (Legal Business Name): CHARLES HSU MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2011
Last Update Date: 06/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9033 WILSHIRE BLVD SUITE 408
BEVERLY HILLS CA
90211-1837
US

IV. Provider business mailing address

9033 WILSHIRE BLVD SUITE 408
BEVERLY HILLS CA
90211-1837
US

V. Phone/Fax

Practice location:
  • Phone: 310-845-6886
  • Fax: 310-881-1216
Mailing address:
  • Phone: 310-845-6886
  • Fax: 310-881-1216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHARLES SHIH-HSUAN HSU
Title or Position: OWNER
Credential: M.D.
Phone: 310-845-6886