Healthcare Provider Details

I. General information

NPI: 1659570174
Provider Name (Legal Business Name): YVONNE L. HSIEH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2007
Last Update Date: 02/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19871 YORBA LINDA BLVD SUITE 104
YORBA LINDA CA
92886-2811
US

IV. Provider business mailing address

19871 YORBA LINDA BLVD SUITE 104
YORBA LINDA CA
92886-2811
US

V. Phone/Fax

Practice location:
  • Phone: 714-777-8845
  • Fax:
Mailing address:
  • Phone: 714-777-8845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA99871
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberA99871
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: