Individual
CARMEN PHILOMENA HSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
222 GREEN VALLEY RD, FREEDOM, CA 95019-3136
(831) 728-2969
(831) 722-9604
Mailing address
1816 16TH AVE, SANTA CRUZ, CA 95062-1709
(831) 728-2969
(831) 722-9604
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G83166
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G83166
STATE LICENSE
CA
Enumeration date
01/24/2007
Last updated
01/31/2017
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