MEDICARE: YAO WENG HSU M.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	207V00000X	Obstetrics & Gynecology Physician	A61296	CA

General Provider Information

NPI Number	:	1528112083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAO WENG HSU M.D.

Provider Business Mailing Address
First Line	:	5240 E BEVERLY BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90022-2002
Country	:	US
Telephone Number	:	323-430-4075
Fax Number	:	323-430-4074

Provider Business Practice Location Address
First Line	:	5240 E BEVERLY BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90022-2002
Country	:	US
Telephone Number	:	323-430-4075
Fax Number	:	323-430-4074

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

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	09/10/2019

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