Basic Information
Provider Information
NPI: 1073760617
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HSU
FirstName: YI-TING CHRISTINE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9353 EAST VALLEY BLVD EAST
Address2:  
City: ROSEMEAD
State: CA
PostalCode: 917701934
CountryCode: US
TelephoneNumber: 6262872988
FaxNumber: 6262870168
Practice Location
Address1: 9353 EAST VALLEY BLVD EAST
Address2:  
City: ROSEMEAD
State: CA
PostalCode: 917701934
CountryCode: US
TelephoneNumber: 6262872988
FaxNumber: 6262870168
Other Information
ProviderEnumerationDate: 08/26/2008
LastUpdateDate: 02/01/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225C00000X  Y Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor 

No ID Information.


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