Healthcare Provider Details

I. General information

NPI: 1811035215
Provider Name (Legal Business Name): DANIEL C. HSU D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7923 GARDEN GROVE BLVD
GARDEN GROVE CA
92841-4225
US

IV. Provider business mailing address

7923 GARDEN GROVE BLVD
GARDEN GROVE CA
92841-4225
US

V. Phone/Fax

Practice location:
  • Phone: 714-898-2275
  • Fax: 714-373-2659
Mailing address:
  • Phone: 714-898-2275
  • Fax: 714-373-2659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number29300
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: