Healthcare Provider Details

I. General information

NPI: 1134860976
Provider Name (Legal Business Name): ANDY HSUEH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 ATLANTIC AVE
LONG BEACH CA
90806-1701
US

IV. Provider business mailing address

PO BOX 920122
DALLAS TX
75392-0149
US

V. Phone/Fax

Practice location:
  • Phone: 844-621-4206
  • Fax:
Mailing address:
  • Phone: 877-346-2211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA189530
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: