Provider Demographics
NPI:1831300722
Name:HSU, SHERI WEN (MD)
Entity type:Individual
Prefix:DR
First Name:SHERI
Middle Name:WEN
Last Name:HSU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:79215 CORPORATE CENTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92253-2186
Mailing Address - Country:US
Mailing Address - Phone:760-771-1111
Mailing Address - Fax:760-564-1685
Practice Address - Street 1:79215 CORPORATE CENTER DR STE 120
Practice Address - Street 2:
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-7232
Practice Address - Country:US
Practice Address - Phone:760-771-1111
Practice Address - Fax:760-564-1685
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2022-06-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA97156207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine