Healthcare Provider Details

I. General information

NPI: 1841330198
Provider Name (Legal Business Name): ANNA HSU DDS MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 09/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3230 WARING CT SUITE Q
OCEANSIDE CA
92056-4509
US

IV. Provider business mailing address

7033 SITIO FRONTERA
CARLSBAD CA
92009-2045
US

V. Phone/Fax

Practice location:
  • Phone: 415-810-8467
  • Fax:
Mailing address:
  • Phone: 415-810-8467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number54265
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number54265
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: