Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 48630 | CO |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A93324 | CA |
NPI | 1073711701 |
---|---|
Provider Name | Elisa Hsia |
First Address | Downey, CA 90242-2814 |
Second Address | Downey, CA 90242-2814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 14/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
53806271 | (05) | CO |