Healthcare Provider Details

I. General information

NPI: 1871287060
Provider Name (Legal Business Name): JIA YING HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2023
Last Update Date: 06/08/2023
Certification Date: 06/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 MEDICAL CENTER CT
CHULA VISTA CA
91911-6617
US

IV. Provider business mailing address

9127 HERMOSA DR
TEMPLE CITY CA
91780-1919
US

V. Phone/Fax

Practice location:
  • Phone: 619-502-5800
  • Fax:
Mailing address:
  • Phone: 626-698-5257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number86376
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: