Provider Demographics
NPI:1942428099
Name:HSU, THOMAS KONG YU (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:KONG YU
Last Name:HSU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 NOGALES ST STE 101
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-1309
Mailing Address - Country:US
Mailing Address - Phone:626-965-3963
Mailing Address - Fax:626-965-4143
Practice Address - Street 1:1015 NOGALES ST STE 101
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-1309
Practice Address - Country:US
Practice Address - Phone:626-965-3963
Practice Address - Fax:626-965-4143
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA036335208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice