Individual provider · Type 1 NPI

Ivy Jennifer Hsu, DO

Student in an Organized Health Care Education/Training Program · Pomona, CA

NPI number 1316706492 Active

Practice location

1770 N Orange Grove Ave Ste 101
Pomona, CA 91767-3027

Call (909) 469-9494 Map

Fax (909) 469-2120

Mailing address

1149 W 25th St
Los Angeles, CA 90007-1794

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XPTL3624 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316706492

Ivy Jennifer Hsu, DO's National Provider Identifier is 1316706492, issued on Mar 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pomona, CA. The record was last updated on Feb 19, 2026.