Healthcare Provider Details

I. General information

NPI: 1508759564
Provider Name (Legal Business Name): GLORIA HSU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2025
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23600 VIA ESPLENDOR
CUPERTINO CA
95014-6571
US

IV. Provider business mailing address

10200 MILLER AVE APT 417
CUPERTINO CA
95014-3445
US

V. Phone/Fax

Practice location:
  • Phone: 650-944-0100
  • Fax:
Mailing address:
  • Phone: 408-891-7823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number27572
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: