Healthcare Provider Details

I. General information

NPI: 1609917830
Provider Name (Legal Business Name): ALLAN YUN LING HU L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 W DUARTE RD STE 204
ARCADIA CA
91007-9274
US

IV. Provider business mailing address

622 W DUARTE RD STE 204
ARCADIA CA
91007-9274
US

V. Phone/Fax

Practice location:
  • Phone: 626-462-9821
  • Fax: 626-462-9823
Mailing address:
  • Phone: 626-462-9821
  • Fax: 626-462-9823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC05866
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: