Provider Demographics
NPI:1497836720
Name:HSUEH, CHI CHU (AC)
Entity Type:Individual
Prefix:
First Name:CHI CHU
Middle Name:
Last Name:HSUEH
Suffix:
Gender:F
Credentials:AC
Other - Prefix:
Other - First Name:GILLIAN
Other - Middle Name:
Other - Last Name:HSUEH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:953 W. 7TH STREET
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030
Mailing Address - Country:US
Mailing Address - Phone:626-429-3422
Mailing Address - Fax:888-246-3934
Practice Address - Street 1:953 W 7TH ST
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-6756
Practice Address - Country:US
Practice Address - Phone:805-483-6129
Practice Address - Fax:888-246-3934
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4010171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4010Medicaid