MEDICARE: DR. DAVID HSU AU.D.

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
1	237600000X	Audiologist-Hearing Aid Fitter

General Provider Information

NPI Number	:	1265799613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID HSU AU.D.

Provider Business Mailing Address
First Line	:	4623 QUAIL LAKES DR
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95207-5258
Country	:	US
Telephone Number	:	209-951-6491
Fax Number	:	209-951-6497

Provider Business Practice Location Address
First Line	:	4623 QUAIL LAKES DR
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95207-5258
Country	:	US
Telephone Number	:	209-951-6491
Fax Number	:	209-951-6497

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2012
Last Update Date	:	03/07/2013

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