Provider Demographics
NPI:1780602805
Name:HSIEH, DAVID (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:HSIEH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18575 E. GALE AVE. #278
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-1385
Mailing Address - Country:US
Mailing Address - Phone:626-559-5181
Mailing Address - Fax:714-789-2366
Practice Address - Street 1:18575 E. GALE AVE. #278
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-1385
Practice Address - Country:US
Practice Address - Phone:626-559-5181
Practice Address - Fax:626-798-2366
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11317111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC11317OtherCHIROPRACTIC LICENSE