Healthcare Provider Details

I. General information

NPI: 1942510664
Provider Name (Legal Business Name): TIFFANY HUANG MD, MAOM, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2010
Last Update Date: 10/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8358 FLORENCE AVE
DOWNEY CA
90240-3917
US

IV. Provider business mailing address

8358 FLORENCE AVE
DOWNEY CA
90240
US

V. Phone/Fax

Practice location:
  • Phone: 626-869-6442
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC13861
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: