| Thomas K Y Hsu Md Inc | |
|
13768 Roswell Ave 117 Chino CA 91710 | |
| (909) 628-4741 | |
| (909) 627-5948 |
| Full Name | Thomas K Y Hsu Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 13768 Roswell Ave, Chino, California |
| Authorized Official Name and Position | Thomas Kong Yu Hsu (PHYSICIAN) |
| Authorized Official Contact | 9096284741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas K Y Hsu Md Inc 1015 S Nogales St Suite 101 Rowland Heights CA 91748 Ph: (626) 965-3963 | Thomas K Y Hsu Md Inc 13768 Roswell Ave 117 Chino CA 91710 Ph: (909) 628-4741 |
| NPI Number | 1801972401 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2961582275 |
|---|---|
| Medicare Enrollment ID | O20071227000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801972401 | NPI | - | NPPES |
| 00A363350 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A36335 (California) | Primary |
| Provider Name | Thomas K Y Hsu |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942428099 PECOS PAC ID: 6800976119 Enrollment ID: I20071227000414 |
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