Provider Demographics
NPI:1083817399
Name:HSU, ANDREW S (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:S
Last Name:HSU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:480 4TH AVE
Mailing Address - Street 2:SUITE 404
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-4410
Mailing Address - Country:US
Mailing Address - Phone:619-425-7470
Mailing Address - Fax:619-425-7472
Practice Address - Street 1:480 4TH AVE STE 404
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-4413
Practice Address - Country:US
Practice Address - Phone:619-425-7470
Practice Address - Fax:619-425-7470
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2017-09-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA108956208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery