Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | A102128 | CA |
NPI | 1053300236 |
---|---|
Provider Name | Kisseng Hsieh |
First Address | Pleasanton, CA 94566-3521 |
Second Address | Pleasanton, CA 94588-4054 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2005 |
Last Update Date | 21/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H53052 | (02) | NY |