Provider Demographics
NPI:1073056008
Name:HSU, HENG (PHARMD)
Entity Type:Individual
Prefix:
First Name:HENG
Middle Name:
Last Name:HSU
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:MIKE
Other - Middle Name:
Other - Last Name:HSU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:210 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90014-1834
Mailing Address - Country:US
Mailing Address - Phone:213-327-0062
Mailing Address - Fax:
Practice Address - Street 1:210 W 7TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90014-1834
Practice Address - Country:US
Practice Address - Phone:213-327-0062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-22
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA73204183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist