Provider Demographics
NPI:1932252046
Name:HSIEH, JOHN TSUNG (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:TSUNG
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 GALE AVE STE 295
Mailing Address - Street 2:
Mailing Address - City:CITY OF INDUSTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91748-1383
Mailing Address - Country:US
Mailing Address - Phone:626-369-9663
Mailing Address - Fax:626-810-1477
Practice Address - Street 1:18575 GALE AVE STE 295
Practice Address - Street 2:
Practice Address - City:CITY OF INDUSTRY
Practice Address - State:CA
Practice Address - Zip Code:91748-1383
Practice Address - Country:US
Practice Address - Phone:626-369-9663
Practice Address - Fax:626-810-1477
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30322111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor