Healthcare Provider Details

I. General information

NPI: 1003303140
Provider Name (Legal Business Name): LI HONG HUANG SALVANI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LI HONG HUANG DDS

II. Dates (important events)

Enumeration Date: 04/14/2018
Last Update Date: 04/17/2023
Certification Date: 04/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10602 CHAPMAN AVE STE 200
GARDEN GROVE CA
92840-3147
US

IV. Provider business mailing address

4724 MONTAIR AVE
LONG BEACH CA
90808-1135
US

V. Phone/Fax

Practice location:
  • Phone: 714-537-0700
  • Fax:
Mailing address:
  • Phone: 415-837-8761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number104006
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: