Provider Demographics
NPI:1801943063
Name:HSU, ALETHEA T (MD)
Entity type:Individual
Prefix:MS
First Name:ALETHEA
Middle Name:T
Last Name:HSU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 S SAN GABRIEL BLVD
Mailing Address - Street 2:SUITE # 203
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-2762
Mailing Address - Country:US
Mailing Address - Phone:626-571-0084
Mailing Address - Fax:626-571-1700
Practice Address - Street 1:900 S SAN GABRIEL BLVD
Practice Address - Street 2:SUITE # 203
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-2762
Practice Address - Country:US
Practice Address - Phone:626-571-0084
Practice Address - Fax:626-571-1700
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA32678208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation