Individual
POWEN HSUEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
79430 HIGHWAY 111 STE 102, LA QUINTA, CA 92253-4549
(951) 827-7793
Mailing address
79430 HIGHWAY 111 STE 102, LA QUINTA, CA 92253-4549
(951) 827-7793
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
34016727
OH
208D00000X
General Practice Physician
1614
NE
208D00000X
General Practice Physician
Primary
20A18688
CA
208M00000X
Hospitalist Physician
34016727
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0022352
—
OH
Enumeration date
03/26/2015
Last updated
12/03/2024
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