Healthcare Provider Details

I. General information

NPI: 1538048137
Provider Name (Legal Business Name): MS. YACHUN MICHELLE HSU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 GOLDEN SPRINGS DR UNIT E
DIAMOND BAR CA
91765-4262
US

IV. Provider business mailing address

1142 S DIAMOND BAR BLVD # 201
DIAMOND BAR CA
91765-2203
US

V. Phone/Fax

Practice location:
  • Phone: 909-631-9988
  • Fax:
Mailing address:
  • Phone: 909-631-9988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: