Healthcare Provider Details

I. General information

NPI: 1962364620
Provider Name (Legal Business Name): WILLIAM HUA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 E CARSON PLAZA CT
CARSON CA
90746-3214
US

IV. Provider business mailing address

16063 CATSKILL AVE
FOUNTAIN VALLEY CA
92708-1802
US

V. Phone/Fax

Practice location:
  • Phone: 310-327-1325
  • Fax:
Mailing address:
  • Phone: 714-913-7042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC20476
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: