MEDICARE: JE HSIEH

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	106S00000X	Behavior Technician
2	163W00000X	Registered Nurse	95312349	CA

General Provider Information

NPI Number	:	1871153684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JE HSIEH

Provider Business Mailing Address
First Line	:	1325 COTTONWOOD ST
Second Line	:
City	:	WOODLAND
State	:	CA
Zip	:	95695-5131
Country	:	US
Telephone Number	:	530-662-3961
Fax Number	:

Provider Business Practice Location Address
First Line	:	1325 COTTONWOOD ST
Second Line	:
City	:	WOODLAND
State	:	CA
Zip	:	95695-5131
Country	:	US
Telephone Number	:	530-662-3961
Fax Number	:

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

Provider Enumeration Date	:	06/14/2019
Last Update Date	:	05/06/2026

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Practice Location Address:

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Directions to “ JE HSIEH ” Practice Location

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