Provider Demographics
NPI:1083931992
Name:STEELE, JODY HSU (LAC)
Entity Type:Individual
Prefix:
First Name:JODY
Middle Name:HSU
Last Name:STEELE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15534 DUKE AVE
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-2873
Mailing Address - Country:US
Mailing Address - Phone:909-393-3978
Mailing Address - Fax:
Practice Address - Street 1:20803 VALLEY BLVD STE 103
Practice Address - Street 2:
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-2582
Practice Address - Country:US
Practice Address - Phone:909-598-2111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-01
Last Update Date:2010-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13502171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist