Healthcare Provider Details

I. General information

NPI: 1689813735
Provider Name (Legal Business Name): JOSEPH J HSIOU DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2009
Last Update Date: 02/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 HUNTINGTON DR 202
SOUTH PASADENA CA
91030-4964
US

IV. Provider business mailing address

2130 HUNTINGTON DR 202
SOUTH PASADENA CA
91030-4964
US

V. Phone/Fax

Practice location:
  • Phone: 626-441-4511
  • Fax: 626-441-4512
Mailing address:
  • Phone: 626-441-4511
  • Fax: 626-441-4512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number28005
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: