Healthcare Provider Details
I. General information
NPI: 1639306525
Provider Name (Legal Business Name): HSINYI HUANG L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/17/2009
Last Update Date: 08/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18821 DELAWARE ST #106
HUNTINGTON BEACH CA
92648-1926
US
IV. Provider business mailing address
1971 NOWELL AVE
ROWLAND HEIGHTS CA
91748-3828
US
V. Phone/Fax
- Phone: 626-991-9969
- Fax:
- Phone: 626-991-9969
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | AC12988 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: