Individual
PHILLIP T. HSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9985 SIERRA AVE, DEPARTMENT OF DERMATOLOGY, FONTANA, CA 92335-6720
(562) 293-7880
Mailing address
9985 SIERRA AVE, DEPARTMENT OF DERMATOLOGY, FONTANA, CA 92335-6720
(562) 293-7880
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1555
WI
390200000X
Student in an Organized Health Care Education/Training Program
50445
WI
Other
Enumeration date
05/04/2006
Last updated
12/01/2021
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