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NPI Code Detail

MEDICARE: CHIH-HSIN HSIEH DDS

MEDICARE:   CHIH-HSIN  HSIEH  DDS
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 Dentistry40947CA

General Provider Information

NPI Number : 1669489373
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHIH-HSIN HSIEH DDS
Provider Business Mailing Address
First Line : 15375 CALLE DESPENSERO
Second Line :
City : HACIENDA HEIGHTS
State : CA
Zip : 91745
Country : US
Telephone Number : 626-336-2588
Fax Number : 626-336-3337
Provider Business Practice Location Address
First Line : 2020 S HACIENDA BLVD
Second Line : SUITE A
City : HACIENDA HEIGHTS
State : CA
Zip : 91745
Country : US
Telephone Number : 626-336-2588
Fax Number : 626-336-3337
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2006
Last Update Date : 07/08/2007

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