MEDICARE: DR. WENNIFRED SINYU HSU 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
1	171100000X	Acupuncturist	18274	CA
2	1223G0001X	General Practice Dentistry	48462	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770639254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WENNIFRED SINYU HSU DDS

Provider Business Mailing Address
First Line	:	930 SUNNYSLOPE RD STE B4
Second Line	:
City	:	HOLLISTER
State	:	CA
Zip	:	95023-5616
Country	:	US
Telephone Number	:	831-635-9000
Fax Number	:	831-635-9608

Provider Business Practice Location Address
First Line	:	930 SUNNYSLOPE RD STE B4
Second Line	:
City	:	HOLLISTER
State	:	CA
Zip	:	95023-5616
Country	:	US
Telephone Number	:	831-635-9000
Fax Number	:	831-635-9608

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

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	03/07/2019

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