Provider Demographics
NPI:1104199785
Name:HSIA, TING TING (LAC)
Entity Type:Individual
Prefix:
First Name:TING TING
Middle Name:
Last Name:HSIA
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 1:3288 PIERCE ST, C-121
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94803-1152
Mailing Address - Country:US
Mailing Address - Phone:510-559-8897
Mailing Address - Fax:
Practice Address - Street 1:3288 PIERCE ST, C-121
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94803-1152
Practice Address - Country:US
Practice Address - Phone:510-559-8897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-14
Last Update Date:2012-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC14593171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist