Provider Demographics
NPI:1538369152
Name:JOSEPH K W HSU PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:JOSEPH K W HSU PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:K W
Authorized Official - Last Name:HSU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-861-7291
Mailing Address - Street 1:8333 IOWA ST
Mailing Address - Street 2:#202
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-4994
Mailing Address - Country:US
Mailing Address - Phone:562-861-7291
Mailing Address - Fax:562-923-4617
Practice Address - Street 1:8333 IOWA ST
Practice Address - Street 2:#202
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-4994
Practice Address - Country:US
Practice Address - Phone:562-861-7291
Practice Address - Fax:562-923-4617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-22
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA65768207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF98799Medicare UPIN
CAA065768AMedicare PIN