Healthcare Provider Details
I. General information
NPI: 1083749519
Provider Name (Legal Business Name): MEI-HWEI HUANG YANG PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
192 WELLS PLACE
COSTA MESA CA
92627
US
IV. Provider business mailing address
192 WELLS PLACE
COSTA MESA CA
92627
US
V. Phone/Fax
- Phone: 949-642-3888
- Fax: 949-642-3888
- Phone: 949-642-3888
- Fax: 949-642-3888
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | LAC 3977 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: