Healthcare Provider Details

I. General information

NPI: 1841927639
Provider Name (Legal Business Name): KAI HUA HSU DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2022
Last Update Date: 08/02/2022
Certification Date: 08/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 CASTRO ST
SAN FRANCISCO CA
94114-2512
US

IV. Provider business mailing address

210 1/2 ROSE ST
SAN FRANCISCO CA
94102-5715
US

V. Phone/Fax

Practice location:
  • Phone: 626-226-6642
  • Fax:
Mailing address:
  • Phone: 626-226-6642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number36262
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: