Provider Demographics
NPI:1336167618
Name:HSU, CHRISTOPHER H (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:H
Last Name:HSU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:225 W MADISON AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020
Mailing Address - Country:US
Mailing Address - Phone:619-442-0844
Mailing Address - Fax:619-442-7399
Practice Address - Street 1:225 W MADISON AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020
Practice Address - Country:US
Practice Address - Phone:619-442-0844
Practice Address - Fax:619-442-7399
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA65973174400000X
CAG81085207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A659730Medicaid
CAWA65973EMedicare PIN
CAA65973Medicare UPIN
CA00A659730Medicaid