Provider Demographics
NPI:1477762078
Name:TSAO, HSIU LI
Entity Type:Individual
Prefix:
First Name:HSIU
Middle Name:LI
Last Name:TSAO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2707 E VALLEY BLVD
Mailing Address - Street 2:#206
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91792-3140
Mailing Address - Country:US
Mailing Address - Phone:626-810-1199
Mailing Address - Fax:626-810-1699
Practice Address - Street 1:2707 E VALLEY BLVD
Practice Address - Street 2:#206
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91792-3140
Practice Address - Country:US
Practice Address - Phone:626-810-1199
Practice Address - Fax:626-810-1699
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11707171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist