Healthcare Provider Details

I. General information

NPI: 1427137934
Provider Name (Legal Business Name): DR. IRENE HSU-DRESDEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 02/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 ALMENDRA AVE
LOS GATOS CA
95030-7211
US

IV. Provider business mailing address

250 ALMENDRA AVE
LOS GATOS CA
95030-7211
US

V. Phone/Fax

Practice location:
  • Phone: 408-399-9009
  • Fax: 408-399-9073
Mailing address:
  • Phone: 408-399-9009
  • Fax: 408-399-9073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD27406
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA105748
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: