Healthcare Provider Details

I. General information

NPI: 1417374638
Provider Name (Legal Business Name): CHRISTINA HSU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2014
Last Update Date: 02/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 NATHAN D PERLMAN PL
NEW YORK NY
10003-3851
US

IV. Provider business mailing address

2226 PINEHURST CT
EL CERRITO CA
94530-1880
US

V. Phone/Fax

Practice location:
  • Phone: 510-206-0187
  • Fax:
Mailing address:
  • Phone: 510-206-0187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: