Individual
JACK HSIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10243 GENETIC CENTER DR, SAN DIEGO, CA 92121-6310
(858) 499-2702
(858) 526-6113
Mailing address
10243 GENETIC CENTER DR, SAN DIEGO, CA 92121-6310
(858) 499-2702
(858) 526-6113
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G83383
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
G83383
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G833830
—
CA
Enumeration date
10/16/2006
Last updated
06/19/2013
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