Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 59990 | CA |
Y | 1223D0004X | Dentist Anesthesiologist | GA1553 | CA |
N | 1223G0001X | General Practice | 019-026447 | IL |
N | 213EG0000X | General Practice | 019-026447 | IL |
NPI | 1225228638 |
---|---|
Provider Name | Dr. Gary Hszieh |
First Address | Irvine, CA 92620-3828 |
Second Address | Irvine, CA 92620-3828 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2007 |
Last Update Date | 17/05/2013 |