MEDICARE: TINGSHU HUANG L.A.C

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	AC 8827	CA

General Provider Information

NPI Number	:	1699930669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TINGSHU HUANG L.A.C

Provider Business Mailing Address
First Line	:	683 INDIAN HILL BLVD
Second Line	:
City	:	POMONA
State	:	CA
Zip	:	91767-5303
Country	:	US
Telephone Number	:	909-620-7884
Fax Number	:	909-469-2467

Provider Business Practice Location Address
First Line	:	683 INDIAN HILL BLVD
Second Line	:
City	:	POMONA
State	:	CA
Zip	:	91767-5303
Country	:	US
Telephone Number	:	909-620-7884
Fax Number	:	909-469-2467

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

Provider Enumeration Date	:	07/18/2008
Last Update Date	:	07/18/2008

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Directions to “ TINGSHU HUANG L.A.C” Practice Location

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