MEDICARE: FU HUA YANG

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	AC12235	CA

General Provider Information

NPI Number	:	1538408083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FU HUA YANG

Provider Business Mailing Address
First Line	:	6331 HAVEN AVE STE 7
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91737-6940
Country	:	US
Telephone Number	:	909-989-7388
Fax Number	:

Provider Business Practice Location Address
First Line	:	6331 HAVEN AVE STE 7
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91737-6940
Country	:	US
Telephone Number	:	909-989-7388
Fax Number	:

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

Provider Enumeration Date	:	02/04/2013
Last Update Date	:	02/04/2013

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Directions to “ FU HUA YANG ” Practice Location

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