Provider Demographics
NPI: | 1467884676 |
---|---|
Name: | LAWRENCE HSU MD INC |
Entity Type: | Organization |
Organization Name: | LAWRENCE HSU MD INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | LAWRENCE |
Authorized Official - Middle Name: | P |
Authorized Official - Last Name: | HSU |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 818-292-7567 |
Mailing Address - Street 1: | PO BOX 2287 |
Mailing Address - Street 2: | |
Mailing Address - City: | BAKERSFIELD |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 93303-2287 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 661-324-0300 |
Mailing Address - Fax: | 661-324-4095 |
Practice Address - Street 1: | 400 OLD RIVER RD |
Practice Address - Street 2: | |
Practice Address - City: | BAKERSFIELD |
Practice Address - State: | CA |
Practice Address - Zip Code: | 93311-9781 |
Practice Address - Country: | US |
Practice Address - Phone: | 661-663-6550 |
Practice Address - Fax: | 661-663-6259 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-07-30 |
Last Update Date: | 2013-07-30 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CA | A120677 | 207X00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Single Specialty |