Healthcare Provider Details

I. General information

NPI: 1710059423
Provider Name (Legal Business Name): WANYU HUANG L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: WAN-YU HUANG L.AC.

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4330 BARRANCA PKWY STE. 245
IRVINE CA
92604-4755
US

IV. Provider business mailing address

4330 BARRANCA PKWY STE. 245
IRVINE CA
92604-4755
US

V. Phone/Fax

Practice location:
  • Phone: 949-857-2388
  • Fax: 949-857-0198
Mailing address:
  • Phone: 949-857-2388
  • Fax: 949-857-0198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC11146
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: