Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | DC29065 | CA |
NPI | 1336213834 |
---|---|
Provider Name | Kim-Yo Hsieh |
First Address | Hayward, CA 94541-5700 |
Second Address | Hayward, CA 94541-5700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 08/07/2007 |