Healthcare Provider Details

I. General information

NPI: 1760584270
Provider Name (Legal Business Name): JOSEPH K W HSU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2006
Last Update Date: 01/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8333 IOWA ST #202
DOWNEY CA
90241-4994
US

IV. Provider business mailing address

1511 CHEVIOTDALE DR
PASADENA CA
91105-2115
US

V. Phone/Fax

Practice location:
  • Phone: 562-861-7291
  • Fax: 562-923-4617
Mailing address:
  • Phone: 562-861-7291
  • Fax: 562-923-4617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA65768
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: