Healthcare Provider Details

I. General information

NPI: 1245877588
Provider Name (Legal Business Name): HSIAO CHU HUANG MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SANDRA HUANG

II. Dates (important events)

Enumeration Date: 12/05/2019
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2009 PALO VERDE AVE
LONG BEACH CA
90815-3322
US

IV. Provider business mailing address

1201 S MAIN ST APT 213
MILPITAS CA
95035-8059
US

V. Phone/Fax

Practice location:
  • Phone: 562-794-7008
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC21011
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: