Healthcare Provider Details

I. General information

NPI: 1275282600
Provider Name (Legal Business Name): COURTNEY CYRIL HSU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS COURTNEY CYRIL MALONEY

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6620 VIA DEL ORO
SAN JOSE CA
95119-1392
US

IV. Provider business mailing address

6620 VIA DEL ORO
SAN JOSE CA
95119-1392
US

V. Phone/Fax

Practice location:
  • Phone: 408-360-2382
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number189400
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA189400
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: