Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | A50577 | CA |
NPI | 1053342378 |
---|---|
Provider Name | Dr. Kenneth Hsu |
First Address | Bakersfield, CA 93390-0633 |
Second Address | Bakersfield, CA 93301-1201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 15/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A505770 | (05) | CA |
110191095 | MEDICARE RAILROAD (01) | CA |
E48259 | (02) | CA |