Provider Demographics
NPI:1710578893
Name:HWA, HSIN-YEE
Entity Type:Individual
Prefix:
First Name:HSIN-YEE
Middle Name:
Last Name:HWA
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 1:835 S CALLE VENADO
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-5003
Mailing Address - Country:US
Mailing Address - Phone:714-785-3751
Mailing Address - Fax:
Practice Address - Street 1:MOBILE SERVICE IN ORANGE COUNTY
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-9280
Practice Address - Country:US
Practice Address - Phone:714-785-3751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54674225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist