MEDICARE: DR. JOHN TSUNG HSIEH D.C.

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	111N00000X	Chiropractor	30322	CA

General Provider Information

NPI Number	:	1932252046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN TSUNG HSIEH D.C.

Provider Business Mailing Address
First Line	:	18575 GALE AVE STE 295
Second Line	:
City	:	CITY OF INDUSTRY
State	:	CA
Zip	:	91748-1383
Country	:	US
Telephone Number	:	626-369-9663
Fax Number	:	626-810-1477

Provider Business Practice Location Address
First Line	:	18575 GALE AVE STE 295
Second Line	:
City	:	CITY OF INDUSTRY
State	:	CA
Zip	:	91748-1383
Country	:	US
Telephone Number	:	626-369-9663
Fax Number	:	626-810-1477

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

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	07/08/2007

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