Healthcare Provider Details

I. General information

NPI: 1851064729
Provider Name (Legal Business Name): YU WEN HSU M.ED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2021
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2204 S EL CAMINO REAL
OCEANSIDE CA
92054-6306
US

IV. Provider business mailing address

9620 CHESAPEAKE DR STE 105
SAN DIEGO CA
92123-1324
US

V. Phone/Fax

Practice location:
  • Phone: 619-782-0700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-81283
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: