Healthcare Provider Details

I. General information

NPI: 1841814548
Provider Name (Legal Business Name): VICTOR BOR-CHANG HSUE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2020
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD. DEPARTMENT OF SURGERY, 8215NT
LOS ANGELES CA
90048
US

IV. Provider business mailing address

8700 BEVERLY BLVD. DEPARTMENT OF SURGERY, 8215NT
LOS ANGELES CA
90048
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-3277
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number183167
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number183167
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: