Healthcare Provider Details

I. General information

NPI: 1275358152
Provider Name (Legal Business Name): SHOU CHIA HUANG DMD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2024
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 S FIGUEROA ST STE 750
LOS ANGELES CA
90017-2776
US

IV. Provider business mailing address

888 S FIGUEROA ST STE 750
LOS ANGELES CA
90017-2776
US

V. Phone/Fax

Practice location:
  • Phone: 213-340-3355
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State

VIII. Authorized Official

Name: SHOU CHIA HUANG
Title or Position: DENTIST
Credential: DMD
Phone: 949-302-6750