Healthcare Provider Details

I. General information

NPI: 1225700461
Provider Name (Legal Business Name): SHIHUI HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2021
Last Update Date: 10/05/2021
Certification Date: 10/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 S VALENCIA ST
ALHAMBRA CA
91801-4118
US

IV. Provider business mailing address

519 N CHANDLER AVE UNIT A
MONTEREY PARK CA
91754-1076
US

V. Phone/Fax

Practice location:
  • Phone: 310-465-7491
  • Fax:
Mailing address:
  • Phone: 310-465-7491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number19216
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: