Healthcare Provider Details

I. General information

NPI: 1912221599
Provider Name (Legal Business Name): CINDY MENGCHIH HUANG PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2010
Last Update Date: 03/08/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10333 EL CAMINO REAL
ATASCADERO CA
93422-5808
US

IV. Provider business mailing address

1600 9TH ST STE 205
SACRAMENTO CA
95814-6435
US

V. Phone/Fax

Practice location:
  • Phone: 805-468-2000
  • Fax: 805-468-2918
Mailing address:
  • Phone: 916-654-2431
  • Fax: 916-654-3186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 23335
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: