Healthcare Provider Details

I. General information

NPI: 1497983761
Provider Name (Legal Business Name): ANDREW RAY HSU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2009
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 THE CITY DR S BLDG 29A
ORANGE CA
92868-3201
US

IV. Provider business mailing address

101 THE CITY DR S BLDG 29A
ORANGE CA
92868-3201
US

V. Phone/Fax

Practice location:
  • Phone: 650-906-8923
  • Fax:
Mailing address:
  • Phone: 704-323-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number2014-00906
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License NumberA136753
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: