Provider Demographics
NPI:1043308745
Name:HSIA, ROSALIND AMICK (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSALIND
Middle Name:AMICK
Last Name:HSIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 I STREET
Mailing Address - Street 2:115
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-4442
Mailing Address - Country:US
Mailing Address - Phone:916-325-9101
Mailing Address - Fax:916-325-9104
Practice Address - Street 1:3000 I STREET
Practice Address - Street 2:115
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-4442
Practice Address - Country:US
Practice Address - Phone:916-325-9101
Practice Address - Fax:916-325-9104
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA40222174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE50457Medicare UPIN
CA402220Medicare PIN