Healthcare Provider Details

I. General information

NPI: 1457535940
Provider Name (Legal Business Name): ANDREW HSIAO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2007
Last Update Date: 08/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12462 PUTNAM ST SUITE 402
WHITTIER CA
90602-1048
US

IV. Provider business mailing address

12462 PUTNAM ST SUITE 402
WHITTIER CA
90602-1048
US

V. Phone/Fax

Practice location:
  • Phone: 562-789-5461
  • Fax: 562-789-4468
Mailing address:
  • Phone: 562-789-5461
  • Fax: 562-789-4468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberA104285
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: