Healthcare Provider Details

I. General information

NPI: 1255515979
Provider Name (Legal Business Name): CLAUDIA CHIA YIN HSIEH D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2007
Last Update Date: 12/15/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28780 SINGLE OAK DR SUITE 160
TEMECULA CA
92590-3625
US

IV. Provider business mailing address

24400 JACKSON AVE SUITE B
MURRIETA CA
92562-1991
US

V. Phone/Fax

Practice location:
  • Phone: 951-676-4193
  • Fax: 951-719-1469
Mailing address:
  • Phone: 951-676-4193
  • Fax: 951-225-6824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A9680
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: