Healthcare Provider Details

I. General information

NPI: 1659418655
Provider Name (Legal Business Name): VICTORIA CHIAYU HSIAO MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 03/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PARNASSUS AVE STE A550
SAN FRANCISCO CA
94143
US

IV. Provider business mailing address

400 PARNASSUS AVE STE A550
SAN FRANCISCO CA
94143-2202
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2350
  • Fax: 415-353-2337
Mailing address:
  • Phone: 415-353-2350
  • Fax: 415-353-2337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number4301089481
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number257692
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberC145561
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: