Provider Demographics
NPI:1245548627
Name:HSIEH, SEAN
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:
Last Name:HSIEH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4824 GEARY BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-2911
Mailing Address - Country:US
Mailing Address - Phone:415-830-4952
Mailing Address - Fax:650-994-9888
Practice Address - Street 1:4824 GEARY BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-2911
Practice Address - Country:US
Practice Address - Phone:415-830-4952
Practice Address - Fax:650-994-9888
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-20
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13770171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist