Provider Demographics
NPI:1881601748
Name:HSIEH, CHANG-YU JOHN (MS, PT, DC, CA)
Entity type:Individual
Prefix:DR
First Name:CHANG-YU
Middle Name:JOHN
Last Name:HSIEH
Suffix:
Gender:M
Credentials:MS, PT, DC, CA
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Other - Middle Name:
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Mailing Address - Street 1:320 SOUTH GARFIELD AVENUE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-6816
Mailing Address - Country:US
Mailing Address - Phone:626-300-8341
Mailing Address - Fax:626-300-8767
Practice Address - Street 1:320 SOUTH GARFIELD AVENUE
Practice Address - Street 2:SUITE 302
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-6816
Practice Address - Country:US
Practice Address - Phone:626-300-8341
Practice Address - Fax:626-300-8767
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2011-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CADC19159111N00000X
CAAC3328171100000X
CAPT10210225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU16935Medicare UPIN
CAR36042Medicare UPIN