Provider Demographics
NPI:1619794799
Name:HSU, CHIA-JUNG
Entity type:Individual
Prefix:MS
First Name:CHIA-JUNG
Middle Name:
Last Name:HSU
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JULIANA
Other - Middle Name:
Other - Last Name:HSU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:1826 BAYVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-1725
Mailing Address - Country:US
Mailing Address - Phone:650-213-2269
Mailing Address - Fax:
Practice Address - Street 1:452 GRAND ST
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-2062
Practice Address - Country:US
Practice Address - Phone:650-366-0486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13189225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist