Healthcare Provider Details

I. General information

NPI: 1326790684
Provider Name (Legal Business Name): PEI-CHEN HSIEH, O.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2022
Last Update Date: 01/18/2022
Certification Date: 01/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6531 CROWN BLVD STE 4
SAN JOSE CA
95120-2906
US

IV. Provider business mailing address

6531 CROWN BLVD STE 4
SAN JOSE CA
95120-2906
US

V. Phone/Fax

Practice location:
  • Phone: 408-997-2020
  • Fax: 408-997-2072
Mailing address:
  • Phone: 408-997-2020
  • Fax: 408-997-2072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PEI-CHEN HSIEH
Title or Position: OWNER
Credential: OD
Phone: 408-997-2020