Healthcare Provider Details

I. General information

NPI: 1982163101
Provider Name (Legal Business Name): YOUNG HSU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 07/11/2024
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 WEBSTER ST STE 320
SAN FRANCISCO CA
94115-2377
US

IV. Provider business mailing address

2100 WEBSTER ST STE 320
SAN FRANCISCO CA
94115-2377
US

V. Phone/Fax

Practice location:
  • Phone: 415-923-3456
  • Fax: 415-923-3121
Mailing address:
  • Phone: 415-923-3456
  • Fax: 415-923-3121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberA177388
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: