Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 11895TPL | CA |
NPI | 1043281934 |
---|---|
Provider Name | Dr. Vanessa D Hsu |
First Address | Orange, CA 92869-3847 |
Second Address | Orange, CA 92869-3847 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 13/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
550902230 | VSP (01) | CA |
V07638 | (02) | CA |