Basic Information
Provider Information
NPI: 1699139287
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HSIAO
FirstName: JOSEPH
MiddleName: SHERMAN
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 845 W LA VETA AVE STE 108
Address2:  
City: ORANGE
State: CA
PostalCode: 928683930
CountryCode: US
TelephoneNumber: 7146392600
FaxNumber: 7142893906
Practice Location
Address1: 845 W LA VETA AVE STE 108
Address2:  
City: ORANGE
State: CA
PostalCode: 928683930
CountryCode: US
TelephoneNumber: 7146392600
FaxNumber: 7142893906
Other Information
ProviderEnumerationDate: 04/08/2016
LastUpdateDate: 11/03/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/03/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RE0101XA153987CAY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


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