Healthcare Provider Details

I. General information

NPI: 1437335759
Provider Name (Legal Business Name): YAO W HSU M.D. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2008
Last Update Date: 09/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5240 E BEVERLY BLVD
LOS ANGELES CA
90022-2002
US

IV. Provider business mailing address

5240 E BEVERLY BLVD
LOS ANGELES CA
90022-2002
US

V. Phone/Fax

Practice location:
  • Phone: 323-430-4075
  • Fax: 323-430-4074
Mailing address:
  • Phone: 323-430-4075
  • Fax: 323-430-4074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. YAO WENG HSU
Title or Position: CEO
Credential: M.D.
Phone: 323-430-4075