Provider Demographics
NPI:1346282340
Name:HSU, ANDY CHIN-SHING (MD)
Entity type:Individual
Prefix:DR
First Name:ANDY
Middle Name:CHIN-SHING
Last Name:HSU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2707 E VALLEY BLVD
Mailing Address - Street 2:STE 116
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91792-3195
Mailing Address - Country:US
Mailing Address - Phone:626-581-1000
Mailing Address - Fax:626-581-1000
Practice Address - Street 1:2707 E VALLEY BLVD
Practice Address - Street 2:STE 116
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91792-3195
Practice Address - Country:US
Practice Address - Phone:626-581-1000
Practice Address - Fax:626-581-1000
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA92122207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A921220Medicaid
CAWA92122Medicare PIN
CA00A921220Medicaid
CAWA92122BMedicare PIN
CAI43502Medicare UPIN