Provider Demographics
NPI:1609178011
Name:HSU, ANNIE YIN LING (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANNIE
Middle Name:YIN LING
Last Name:HSU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ANNIE
Other - Middle Name:YIN LING
Other - Last Name:CHIU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26022 MARGUERITE PKWY
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-3262
Mailing Address - Country:US
Mailing Address - Phone:949-582-3294
Mailing Address - Fax:
Practice Address - Street 1:26022 MARGUERITE PKWY
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-3262
Practice Address - Country:US
Practice Address - Phone:949-582-3294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-18
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58359183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist