Healthcare Provider Details

I. General information

NPI: 1942385109
Provider Name (Legal Business Name): BING HSU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 E TEMPLE ST VA LA ACC - MENTAL HEALTH CLINIC (116A)
LOS ANGELES CA
90012-3328
US

IV. Provider business mailing address

351 E TEMPLE ST VA LA ACC - MENTAL HEALTH CLINIC (116A)
LOS ANGELES CA
90012-3328
US

V. Phone/Fax

Practice location:
  • Phone: 213-253-2677
  • Fax: 213-253-5041
Mailing address:
  • Phone: 213-253-2677
  • Fax: 213-253-5041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberG068663
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: