Healthcare Provider Details

I. General information

NPI: 1215133798
Provider Name (Legal Business Name): JULIA JEN-CHIAO HSIAO D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2007
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3565 DEL AMO BLVD NEUROLOGY DEPARTMENT
TORRANCE CA
90503-1637
US

IV. Provider business mailing address

PO BOX 35380
LAS VEGAS NV
89133-5380
US

V. Phone/Fax

Practice location:
  • Phone: 310-214-0811
  • Fax:
Mailing address:
  • Phone: 702-579-3203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number20A11680
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: