Healthcare Provider Details

I. General information

NPI: 1609088624
Provider Name (Legal Business Name): NANCY KWON HSIEH, DDS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 CALIFORNIA ST SUITE 302
SAN FRANCISCO CA
94118-1863
US

IV. Provider business mailing address

3400 CALIFORNIA ST SUITE 302
SAN FRANCISCO CA
94118-1863
US

V. Phone/Fax

Practice location:
  • Phone: 415-567-1532
  • Fax:
Mailing address:
  • Phone: 415-567-1532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number50401
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number50297
License Number StateCA

VIII. Authorized Official

Name: NANCY KWON HSIEH
Title or Position: OWNER
Credential: DDS, MS
Phone: 415-567-1532