Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 33737 | CA |
NPI | 1013430859 |
---|---|
Provider Name | Michael Hsieh |
First Address | Palmdale, CA 93552-3103 |
Second Address | Palmdale, CA 93552-3103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2017 |
Last Update Date | 11/08/2017 |