Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A17388 | CA |
Y | 2080P0208X | Pediatric Infectious Diseases | A17388 | CA |
NPI | 1093745630 |
---|---|
Provider Name | Dr. Charlotte Jia-Hwa Hsieh |
First Address | Oakland, CA 94609-1809 |
Second Address | Oakland, CA 94609-1809 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 12/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A71388 | CA STATE LIC NUMBER (01) | CA |