Provider Demographics
NPI:1831787282
Name:ANGELA Y HSU DDS PHD INC
Entity type:Organization
Organization Name:ANGELA Y HSU DDS PHD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:HSU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-356-5300
Mailing Address - Street 1:16400 LARK AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2563
Mailing Address - Country:US
Mailing Address - Phone:408-356-5300
Mailing Address - Fax:408-356-9030
Practice Address - Street 1:16400 LARK AVE STE 230
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2563
Practice Address - Country:US
Practice Address - Phone:408-356-5300
Practice Address - Fax:408-356-9030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-31
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental