MEDICARE: LESLIE CHIA-MEI 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	2084P0800X	Psychiatry Physician	G32250	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G32250	OTHER	CA	MEDICAL LICENSE

General Provider Information

NPI Number	:	1699846725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE CHIA-MEI HSU M.D.

Provider Business Mailing Address
First Line	:	4370 ALPINE RD
Second Line	:	SUITE 105
City	:	PORTOLA VALLEY
State	:	CA
Zip	:	94028-7952
Country	:	US
Telephone Number	:	650-851-3121
Fax Number	:

Provider Business Practice Location Address
First Line	:	4370 ALPINE RD
Second Line	:	SUITE 105
City	:	PORTOLA VALLEY
State	:	CA
Zip	:	94028-7952
Country	:	US
Telephone Number	:	650-851-3121
Fax Number	:

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

Provider Enumeration Date	:	11/11/2006
Last Update Date	:	03/07/2023

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