Healthcare Provider Details

I. General information

NPI: 1811671639
Provider Name (Legal Business Name): YU HSU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2023
Last Update Date: 06/12/2023
Certification Date: 06/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 FRANCESCA DR UNIT 102
WALNUT CA
91789-4114
US

IV. Provider business mailing address

725 FRANCESCA DR UNIT 102
WALNUT CA
91789-4114
US

V. Phone/Fax

Practice location:
  • Phone: 818-516-4611
  • Fax:
Mailing address:
  • Phone: 818-516-4611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC19498
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: