Provider Demographics
NPI:1679682876
Name:HSU, LINDA P (MD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:P
Last Name:HSU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:411 E HUNTINGTON DR #107 - 359
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-3731
Mailing Address - Country:US
Mailing Address - Phone:562-867-2796
Mailing Address - Fax:562-867-0378
Practice Address - Street 1:11101 LA REINA AVE
Practice Address - Street 2:STE 101
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-4237
Practice Address - Country:US
Practice Address - Phone:562-867-2796
Practice Address - Fax:562-867-0738
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA77291207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A772910Medicaid
CAA77291Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
CA00A772910Medicaid
CAA77291AMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER