| Jerry Hsieh, M.d., Inc. | |
|
9900 Talbert Ave Ste 100 Fountain Valley CA 92708-5153 | |
| (949) 424-6135 | |
| (949) 416-5861 |
| Full Name | Jerry Hsieh, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 9900 Talbert Ave Ste 100, Fountain Valley, California |
| Authorized Official Name and Position | Jerry N Hsieh (CEO) |
| Authorized Official Contact | 9494246135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Hsieh, M.d., Inc. 9900 Talbert Ave Ste 100 Fountain Valley CA 92708-5153 Ph: (949) 424-6135 | Jerry Hsieh, M.d., Inc. 9900 Talbert Ave Ste 100 Fountain Valley CA 92708-5153 Ph: (949) 424-6135 |
| NPI Number | 1457913576 |
|---|---|
| Provider Enumeration Date | 06/28/2019 |
| Last Update Date | 05/25/2022 |
| Medicare PECOS PAC ID | 4183951817 |
|---|---|
| Medicare Enrollment ID | O20190802002910 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457913576 | NPI | - | NPPES |
| Provider Name | Lily J Tiao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922477306 PECOS PAC ID: 4183933179 Enrollment ID: I20151013001838 |
| Provider Name | Jerry N Hsieh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598055709 PECOS PAC ID: 9436381191 Enrollment ID: I20171003007797 |
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