Provider Demographics
NPI:1922035484
Name:HSU, YI-CHEN (LICAC, PHD)
Entity Type:Individual
Prefix:MS
First Name:YI-CHEN
Middle Name:
Last Name:HSU
Suffix:
Gender:F
Credentials:LICAC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-3119
Mailing Address - Country:US
Mailing Address - Phone:310-902-5376
Mailing Address - Fax:
Practice Address - Street 1:2128 PICO BLVD
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90405-1718
Practice Address - Country:US
Practice Address - Phone:310-902-5376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC9274171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist