Healthcare Provider Details

I. General information

NPI: 1407363088
Provider Name (Legal Business Name): HUATOY CONSULTING & THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2018
Last Update Date: 01/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 S RAYMOND AVE STE 100
ALHAMBRA CA
91801-7142
US

IV. Provider business mailing address

55 S RAYMOND AVE STE 105
ALHAMBRA CA
91801-7101
US

V. Phone/Fax

Practice location:
  • Phone: 626-741-5047
  • Fax: 626-741-5063
Mailing address:
  • Phone: 626-741-5047
  • Fax: 626-741-5063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC15911
License Number StateCA

VIII. Authorized Official

Name: ELAINE WANG
Title or Position: CEO
Credential: ACUPUNCTURIST
Phone: 626-818-0616