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NPI Code Detail

MEDICARE: MRS. SHU CHEN HSIAO LCSW, PPSC

MEDICARE: MRS. SHU CHEN HSIAO LCSW, PPSC
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
11041C0700XClinical Social WorkerLCS17041CA

General Provider Information

NPI Number : 1285758862
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHU CHEN HSIAO LCSW, PPSC
Provider Business Mailing Address
First Line : 704 W 8TH ST
Second Line :
City : SAN PEDRO
State : CA
Zip : 90731-3017
Country : US
Telephone Number : 310-832-7545
Fax Number : 310-833-8580
Provider Business Practice Location Address
First Line : 704 W 8TH ST
Second Line :
City : SAN PEDRO
State : CA
Zip : 90731-3017
Country : US
Telephone Number : 310-832-7545
Fax Number : 310-833-8580
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 08/06/2009

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Directions to “ MRS. SHU CHEN HSIAO LCSW, PPSC” Practice Location

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