Healthcare Provider Details

I. General information

NPI: 1891031977
Provider Name (Legal Business Name): VICTOR YU-CHING HSU, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2012
Last Update Date: 12/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 W LA VETA AVE STE 107A
ORANGE CA
92868-3930
US

IV. Provider business mailing address

845 W LA VETA AVE STE 107A
ORANGE CA
92868-3930
US

V. Phone/Fax

Practice location:
  • Phone: 714-289-7171
  • Fax: 714-289-7177
Mailing address:
  • Phone: 714-289-7171
  • Fax: 714-289-7177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code331L00000X
TaxonomyBlood Bank
License NumberA76936
License Number StateCA

VIII. Authorized Official

Name: DR. VICTOR YU-CHING HSU
Title or Position: OWNER
Credential: M.D.
Phone: 714-289-7171