Healthcare Provider Details

I. General information

NPI: 1336003722
Provider Name (Legal Business Name): JONATHAN PETER HSU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5638 MCCULLOCH AVE
TEMPLE CITY CA
91780-2960
US

IV. Provider business mailing address

5638 MCCULLOCH AVE
TEMPLE CITY CA
91780-2960
US

V. Phone/Fax

Practice location:
  • Phone: 626-232-7872
  • Fax:
Mailing address:
  • Phone: 626-232-7872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: