Healthcare Provider Details

I. General information

NPI: 1952014615
Provider Name (Legal Business Name): AMY HSU PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2022
Last Update Date: 12/27/2022
Certification Date: 12/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 THE CITY DR S
ORANGE CA
92868-3201
US

IV. Provider business mailing address

28 CAPOBELLA
IRVINE CA
92614-8103
US

V. Phone/Fax

Practice location:
  • Phone: 714-456-6337
  • Fax:
Mailing address:
  • Phone: 949-394-9705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number81638
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: