Healthcare Provider Details

I. General information

NPI: 1649339995
Provider Name (Legal Business Name): EDWARD C HSU PT, L.AC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 10/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 VAN NESS AVE. OPERA PLAZA, SUITE 2008
SAN FRANCISCO CA
94110
US

IV. Provider business mailing address

601 VAN NESS AVE OPERA PLAZA, SUITE 2008
SAN FRANCISCO CA
94102-3200
US

V. Phone/Fax

Practice location:
  • Phone: 415-674-7032
  • Fax:
Mailing address:
  • Phone: 415-674-7032
  • Fax: 415-674-7040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number27315
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 15285
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: