Healthcare Provider Details

I. General information

NPI: 1558591479
Provider Name (Legal Business Name): JENNIFER P HSU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JENNIFER P CHOI MD

II. Dates (important events)

Enumeration Date: 07/27/2009
Last Update Date: 07/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1157 S CABRILLO DR
CHULA VISTA CA
91910-8168
US

IV. Provider business mailing address

1157 S CABRILLO DR
CHULA VISTA CA
91910-8168
US

V. Phone/Fax

Practice location:
  • Phone: 916-944-7628
  • Fax:
Mailing address:
  • Phone: 916-944-7628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number047799
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA114867
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: