Healthcare Provider Details

I. General information

NPI: 1669835740
Provider Name (Legal Business Name): ROBERT CHUN-HAO HSU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2016
Last Update Date: 07/29/2022
Certification Date: 07/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 EASTLAKE AVENUE NTT 3444
LOS ANGELES CA
90089-1005
US

IV. Provider business mailing address

PO BOX 31309
LOS ANGELES CA
90031-0309
US

V. Phone/Fax

Practice location:
  • Phone: 323-865-3963
  • Fax:
Mailing address:
  • Phone: 323-865-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number161565
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: