Healthcare Provider Details

I. General information

NPI: 1982930277
Provider Name (Legal Business Name): DR. HSIEN-MING HSIEH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2009
Last Update Date: 10/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 BAYPORTE
IRVINE CA
92614-7437
US

IV. Provider business mailing address

19 BAYPORTE
IRVINE CA
92614-7437
US

V. Phone/Fax

Practice location:
  • Phone: 949-552-4788
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberLAC7874
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: