Healthcare Provider Details

I. General information

NPI: 1912789579
Provider Name (Legal Business Name): HSIAO HAN WENG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2023
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 E CHAPMAN AVE STE 107
FULLERTON CA
92831-3135
US

IV. Provider business mailing address

2501 E CHAPMAN AVE STE 107
FULLERTON CA
92831-3135
US

V. Phone/Fax

Practice location:
  • Phone: 714-722-9675
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number19117
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: