Provider Demographics
NPI:1679796478
Name:HSIEH, MELODY Y (PT, L AC)
Entity type:Individual
Prefix:
First Name:MELODY
Middle Name:Y
Last Name:HSIEH
Suffix:
Gender:F
Credentials:PT, L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 N CURTIS AVE
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-1352
Mailing Address - Country:US
Mailing Address - Phone:626-353-3174
Mailing Address - Fax:
Practice Address - Street 1:3699 WILSHIRE BL.
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010
Practice Address - Country:US
Practice Address - Phone:323-783-5361
Practice Address - Fax:323-783-7460
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8317225100000X
CAAC 14584171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No171100000XOther Service ProvidersAcupuncturist