Individual
DR. BRADFORD T HSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
480 4TH AVE, SUITE 404, CHULA VISTA, CA 91910-4410
(619) 425-4559
Mailing address
1472 BRADLEY PL, CHULA VISTA, CA 91911-6935
(619) 578-3899
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A86179
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A861790
—
CA
Enumeration date
03/28/2006
Last updated
01/13/2016
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