Healthcare Provider Details

I. General information

NPI: 1205524568
Provider Name (Legal Business Name): SHARNAI HUANG DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2023
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 S GLENOAKS BLVD STE 212
BURBANK CA
91502-2750
US

IV. Provider business mailing address

462 1/2 CASANOVA ST
LOS ANGELES CA
90012-1026
US

V. Phone/Fax

Practice location:
  • Phone: 747-286-6083
  • Fax:
Mailing address:
  • Phone: 626-780-1123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT303169
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: