Healthcare Provider Details
I. General information
NPI: 1679682876
Provider Name (Legal Business Name): LINDA P HSU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/30/2006
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12105 PARAMOUNT BLVD
DOWNEY CA
90242-2309
US
IV. Provider business mailing address
411 E HUNTINGTON DR #107 - 359
ARCADIA CA
91106-3731
US
V. Phone/Fax
- Phone: 562-867-2796
- Fax: 562-867-0738
- Phone: 562-867-2796
- Fax: 562-867-0378
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0300X |
| Taxonomy | Geriatric Medicine (Internal Medicine) Physician |
| License Number | A77291 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: