Healthcare Provider Details

I. General information

NPI: 1477367829
Provider Name (Legal Business Name): YU-CHING HSU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 DOLLEY MADISON BLVD STE 204
MC LEAN VA
22101-3974
US

IV. Provider business mailing address

1313 DOLLEY MADISON BLVD STE 204
MC LEAN VA
22101-3974
US

V. Phone/Fax

Practice location:
  • Phone: 571-248-7773
  • Fax:
Mailing address:
  • Phone: 571-248-7773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberU03176
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number0121001196
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: