MEDICARE: DR. RAYMOND SHII HUANG L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC01355	CA

General Provider Information

NPI Number	:	1144427105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAYMOND SHII HUANG L.AC.

Provider Business Mailing Address
First Line	:	2703 PEPPERDALE DR
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-4938
Country	:	US
Telephone Number	:	562-943-2820
Fax Number	:	562-943-2898

Provider Business Practice Location Address
First Line	:	16252 WHITTIER BLVD
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90603-2901
Country	:	US
Telephone Number	:	562-943-2820
Fax Number	:	562-943-2898

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2007
Last Update Date	:	07/08/2007

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