Healthcare Provider Details

I. General information

NPI: 1255681508
Provider Name (Legal Business Name): CHIH-CHIANG HU PHD, LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ERIC C HU PHD, LAC

II. Dates (important events)

Enumeration Date: 09/13/2012
Last Update Date: 10/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 E CANYON RIM RD STE 113E
ANAHEIM CA
92807-4317
US

IV. Provider business mailing address

20630 VIA VERONICA
YORBA LINDA CA
92887-3118
US

V. Phone/Fax

Practice location:
  • Phone: 714-974-0330
  • Fax: 714-974-1434
Mailing address:
  • Phone: 714-970-6263
  • Fax: 714-485-2452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC1227
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: