Provider Demographics
NPI:1760584270
Name:HSU, JOSEPH K W (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:K W
Last Name:HSU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1511 CHEVIOTDALE DR
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-2115
Mailing Address - Country:US
Mailing Address - Phone:562-861-7291
Mailing Address - Fax:562-923-4617
Practice Address - Street 1:8333 IOWA ST
Practice Address - Street 2:#202
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-4994
Practice Address - Country:US
Practice Address - Phone:562-861-7291
Practice Address - Fax:562-923-4617
Is Sole Proprietor?:No
Enumeration Date:2006-09-04
Last Update Date:2009-01-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA65768207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA65768AMedicare PIN
CAF98799Medicare UPIN