Provider Demographics
NPI:1366832032
Name:HSI, ANDY CHIA-WEI (MD)
Entity Type:Individual
Prefix:
First Name:ANDY
Middle Name:CHIA-WEI
Last Name:HSI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2285 CORPORATE CIR STE 200
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7759
Mailing Address - Country:US
Mailing Address - Phone:702-360-2763
Mailing Address - Fax:949-783-2880
Practice Address - Street 1:1041 E YORBA LINDA BLVD STE 304
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-3751
Practice Address - Country:US
Practice Address - Phone:714-924-7240
Practice Address - Fax:714-924-7247
Is Sole Proprietor?:No
Enumeration Date:2015-02-02
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012020186207ZP0102X
CAA149487207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology