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NPI Code Detail

MEDICARE: JONATHAN YUCHIANG HSU D.D.S.

MEDICARE:   JONATHAN YUCHIANG HSU  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry60804CA

General Provider Information

NPI Number : 1114208196
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN YUCHIANG HSU D.D.S.
Provider Business Mailing Address
First Line : 1088 EL SUR AVE
Second Line :
City : ARCADIA
State : CA
Zip : 91006-4529
Country : US
Telephone Number : 626-616-5296
Fax Number :
Provider Business Practice Location Address
First Line : 1088 EL SUR AVE
Second Line :
City : ARCADIA
State : CA
Zip : 91006-4529
Country : US
Telephone Number : 626-616-5296
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2011
Last Update Date : 09/02/2011

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Directions to “ JONATHAN YUCHIANG HSU D.D.S.” Practice Location

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