Physician Compare National (NPI:1386656726)

HEALTHCARE PROVIDER: GOETHE ISSAC HSU M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1386656726
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4789876111
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101018000845
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HSU
	Individual professional last name
Provider First Name	GOETHE
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	12651 LAKEWOOD BLVD
	Group Practice or individual's line 1 address
City	DOWNEY
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	902424561
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050393
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PIH HOSPITAL - DOWNEY
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y