Healthcare Provider Details

I. General information

NPI: 1447880224
Provider Name (Legal Business Name): ANNA HSUEH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2020
Last Update Date: 11/10/2021
Certification Date: 11/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 E GUASTI RD STE 100
ONTARIO CA
91761-8661
US

IV. Provider business mailing address

4050 W METROPOLITAN DR STE 100
ORANGE CA
92868-3502
US

V. Phone/Fax

Practice location:
  • Phone: 949-401-3931
  • Fax: 888-403-6922
Mailing address:
  • Phone: 949-401-3931
  • Fax: 888-403-6922

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 Number1-21-53824
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: