Healthcare Provider Details

I. General information

NPI: 1902023625
Provider Name (Legal Business Name): ANNA PEI-HUA HSU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8631 W 3RD ST STE 440E
LOS ANGELES CA
90048-5971
US

IV. Provider business mailing address

8631 W 3RD ST STE 440E
LOS ANGELES CA
90048-5971
US

V. Phone/Fax

Practice location:
  • Phone: 310-657-7704
  • Fax: 310-652-9906
Mailing address:
  • Phone: 310-657-7704
  • Fax: 310-652-9906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License NumberA80339
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License NumberA80339
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License NumberA80339
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberA80339
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: