Healthcare Provider Details

I. General information

NPI: 1033375845
Provider Name (Legal Business Name): ANGELA W HUANG ANGELA HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WEN CHI HUANG D.M.D

II. Dates (important events)

Enumeration Date: 07/31/2008
Last Update Date: 07/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2219 S HACIENDA BLVD STE 208
HACIENDA HEIGHTS CA
91745-4639
US

IV. Provider business mailing address

2219 S HACIENDA BLVD STE 208
HACIENDA HEIGHTS CA
91745-4639
US

V. Phone/Fax

Practice location:
  • Phone: 626-369-5223
  • Fax: 626-961-7564
Mailing address:
  • Phone: 626-369-5223
  • Fax: 626-961-7564

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number57313
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: