Healthcare Provider Details

I. General information

NPI: 1720218258
Provider Name (Legal Business Name): HSIA LIN HSU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2009
Last Update Date: 07/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9353 VALLEY BLVD STE C
ROSEMEAD CA
91770-1934
US

IV. Provider business mailing address

1427 RIDLEY AVE
HACIENDA HTS CA
91745-2635
US

V. Phone/Fax

Practice location:
  • Phone: 626-287-2988
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: