Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | A104194 | CA |
NPI | 1013147388 |
---|---|
Provider Name | Dr. Tyken C. Hsieh |
First Address | Los Angeles, CA 90095-8358 |
Second Address | Los Angeles, CA 90095-8358 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2009 |
Last Update Date | 20/04/2011 |