Basic Information
| Provider Information | |||||||||
| NPI: | 1871753731 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GATSCHET | ||||||||
| FirstName: | HSINJU | ||||||||
| MiddleName: | RUBY | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 220 STANDIFORD AVE | ||||||||
| Address2: | STE F | ||||||||
| City: | MODESTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 953501159 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2095795628 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 7551 TIMBERLAKE WAY STE 230 | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958235422 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9163473630 | ||||||||
| FaxNumber: | 9163473632 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2008 | ||||||||
| LastUpdateDate: | 12/17/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/17/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 0000000 | CA | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.