Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | G59088 | CA |
NPI | 1194862649 |
---|---|
Provider Name | Dr. Jing Weng Hsieh |
First Address | Berkeley, CA 94705-2121 |
Second Address | Oakland, CA 94621-2035 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 13/07/2007 |