Provider Demographics
NPI:1467440883
Name:CHIU, PAUL HSIS-HSUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:HSIS-HSUNG
Last Name:CHIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:167 MONTEREY RD
Mailing Address - Street 2:UNIT-A
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-5005
Mailing Address - Country:US
Mailing Address - Phone:626-808-3371
Mailing Address - Fax:
Practice Address - Street 1:707 S GARFIELD AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-5859
Practice Address - Country:US
Practice Address - Phone:626-281-7246
Practice Address - Fax:626-281-9040
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-10
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA81278207L00000X, 207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA81278AMedicare PIN
CAWA81278BMedicare PIN