Provider Demographics
NPI:1669692836
Name:HSU, YU-AN (LAC)
Entity type:Individual
Prefix:MRS
First Name:YU-AN
Middle Name:
Last Name:HSU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MRS
Other - First Name:ANN
Other - Middle Name:
Other - Last Name:HSU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:806 MANHATTAN BEACH BLVD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-4935
Mailing Address - Country:US
Mailing Address - Phone:310-372-3323
Mailing Address - Fax:
Practice Address - Street 1:806 MANHATTAN BEACH BLVD
Practice Address - Street 2:SUITE 109
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-4935
Practice Address - Country:US
Practice Address - Phone:310-372-3323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC2535171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist