Healthcare Provider Details

I. General information

NPI: 1437289246
Provider Name (Legal Business Name): CECILIA LI HSIA M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 08/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11401 BLOOMFIELD
NORWALK CA
90650
US

IV. Provider business mailing address

11401 BLOOMFIELD
NORWALK CA
90650
US

V. Phone/Fax

Practice location:
  • Phone: 626-961-8971
  • Fax: 626-961-6685
Mailing address:
  • Phone: 626-961-8971
  • Fax: 626-961-6685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA76124
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: