Healthcare Provider Details

I. General information

NPI: 1518049048
Provider Name (Legal Business Name): HENRY H HSIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 11/20/2020
Certification Date: 11/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 PARNASSUS AVENUE
SAN FRANCISCO CA
94143
US

IV. Provider business mailing address

555 PARNASSUS AVENUE
SAN FRANCISCO CA
94143
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-5706
  • Fax: 415-476-6260
Mailing address:
  • Phone: 415-476-5706
  • Fax: 415-476-6260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberG87565
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberG87565
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: