Healthcare Provider Details

I. General information

NPI: 1922368224
Provider Name (Legal Business Name): CHARLES HSU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2012
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6809 CHIALA LN
SAN JOSE CA
95129-2852
US

IV. Provider business mailing address

6809 CHIALA LN
SAN JOSE CA
95129-2852
US

V. Phone/Fax

Practice location:
  • Phone: 408-644-6625
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number14746
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: