Healthcare Provider Details

I. General information

NPI: 1932675634
Provider Name (Legal Business Name): YALING HSU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2018
Last Update Date: 10/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 E SAN FERNANDO ST
SAN JOSE CA
95112-3503
US

IV. Provider business mailing address

142 N MILPITAS BLVD # 360
MILPITAS CA
95035-4401
US

V. Phone/Fax

Practice location:
  • Phone: 408-899-7141
  • Fax:
Mailing address:
  • Phone: 951-231-0162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: