Provider Demographics
NPI:1144470667
Name:HSU, AMY K (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:K
Last Name:HSU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:9440 SANTA MONICA BLVD STE 408
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4610
Mailing Address - Country:US
Mailing Address - Phone:310-800-2371
Mailing Address - Fax:877-991-4918
Practice Address - Street 1:9440 SANTA MONICA BLVD STE 408
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4610
Practice Address - Country:US
Practice Address - Phone:310-800-2371
Practice Address - Fax:877-991-4918
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY246372207Y00000X
CAA120839207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology