Provider Demographics
NPI:1730671702
Name:HSIEH, YU HUA (LAC)
Entity Type:Individual
Prefix:
First Name:YU HUA
Middle Name:
Last Name:HSIEH
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 SHARON RD
Mailing Address - Street 2:
Mailing Address - City:ACADIA
Mailing Address - State:CA
Mailing Address - Zip Code:97001
Mailing Address - Country:US
Mailing Address - Phone:205-223-0689
Mailing Address - Fax:
Practice Address - Street 1:619 SHARON RD
Practice Address - Street 2:
Practice Address - City:ACADIA
Practice Address - State:CA
Practice Address - Zip Code:97001
Practice Address - Country:US
Practice Address - Phone:205-223-0689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-05
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18157171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA18157Medicaid