Healthcare Provider Details
I. General information
NPI: 1689139529
Provider Name (Legal Business Name): JOANNE HSU
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/05/2019
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date: 06/10/2026
Reactivation Date: 07/17/2026
III. Provider practice location address
16700 NORWALK BLVD
CERRITOS CA
90703-1838
US
IV. Provider business mailing address
16700 NORWALK BLVD
CERRITOS CA
90703-1838
US
V. Phone/Fax
- Phone: 562-926-5566
- Fax:
- Phone: 562-926-5566
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: