Provider Demographics
NPI:1285812719
Name:HSI, ERIC Y (OMD,LAC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:Y
Last Name:HSI
Suffix:
Gender:M
Credentials:OMD,LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:662 W DUARTE RD
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7605
Mailing Address - Country:US
Mailing Address - Phone:626-446-3668
Mailing Address - Fax:626-447-1209
Practice Address - Street 1:662 W DUARTE RD
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7605
Practice Address - Country:US
Practice Address - Phone:626-446-3668
Practice Address - Fax:626-447-1209
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4095171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist