Provider Demographics
NPI:1598806671
Name:MELVIN S. HSU CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:MELVIN S. HSU CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:HSU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:408-296-1189
Mailing Address - Street 1:700 S WINCHESTER BLVD STE 40
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2900
Mailing Address - Country:US
Mailing Address - Phone:408-296-1189
Mailing Address - Fax:408-296-1689
Practice Address - Street 1:1114 SARATOGA AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-3421
Practice Address - Country:US
Practice Address - Phone:408-296-1189
Practice Address - Fax:408-296-1689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27779111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0277790Medicare ID - Type Unspecified