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General NPI Number Information
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NPI Number | 1598576928
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Entity Type | Organization
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Legal Business Name | HSU MEDICAL CORP
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 301 VICTORIA ST
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City | COSTA MESA
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State | CA
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Zip | 92627-1995
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Country | US
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Telephone | 949-642-2734
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Fax | 949-574-3625
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Provider Business Mailing Address
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Address Line | 5 HOLLAND STE 101
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City | IRVINE
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State | CA
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Zip | 92618-2568
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Country | US
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Telephone | 949-588-2190
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Fax | 949-588-2199
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Authorized Official
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Title or Position | OWNER
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Name | EDWARD HSU
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Credential | MD
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Telephone | 949-588-2190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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