Healthcare Provider Details

I. General information

NPI: 1396943817
Provider Name (Legal Business Name): ANNE CHIA-AN HSII M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2007
Last Update Date: 12/15/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

93 SKYLINE PLZ
DALY CITY CA
94015-3822
US

IV. Provider business mailing address

93 SKYLINE PLZ
DALY CITY CA
94015-3822
US

V. Phone/Fax

Practice location:
  • Phone: 650-991-8883
  • Fax: 650-758-4636
Mailing address:
  • Phone: 650-991-8883
  • Fax: 650-758-4636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA98570
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: