Healthcare Provider Details

I. General information

NPI: 1376940494
Provider Name (Legal Business Name): WEIMING HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2014
Last Update Date: 04/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14150 BLOSSOM HILL RD
LOS GATOS CA
95032-5118
US

IV. Provider business mailing address

503 1/2 UNIVERSITY AVE
LOS GATOS CA
95032-4459
US

V. Phone/Fax

Practice location:
  • Phone: 408-618-1415
  • Fax: 628-232-2468
Mailing address:
  • Phone: 408-618-1415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC16380
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: