Healthcare Provider Details

I. General information

NPI: 1477483535
Provider Name (Legal Business Name): FREDDIE HSIAO DDS APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9917 HAMILTON AVE
HUNTINGTON BEACH CA
92646-8015
US

IV. Provider business mailing address

1687 TOPANGA
COSTA MESA CA
92627-7741
US

V. Phone/Fax

Practice location:
  • Phone: 714-962-1345
  • Fax:
Mailing address:
  • Phone: 909-997-0987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: FREDDIE HSIAO
Title or Position: CEO
Credential: DDS
Phone: 909-997-0987