Healthcare Provider Details

I. General information

NPI: 1235405895
Provider Name (Legal Business Name): KATHERINE T. HSIAO, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2012
Last Update Date: 03/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3905 SACRAMENTO ST SUITE 204
SAN FRANCISCO CA
94118-1636
US

IV. Provider business mailing address

3905 SACRAMENTO STREET SUITE 204
SAN FRANCISCO CA
94118
US

V. Phone/Fax

Practice location:
  • Phone: 415-876-8500
  • Fax: 415-876-8505
Mailing address:
  • Phone: 415-876-8500
  • Fax: 415-876-8505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License NumberA51088
License Number StateCA

VIII. Authorized Official

Name: DR. KATHERINE T HSIAO
Title or Position: PRINCIPAL
Credential: MD
Phone: 415-876-8500