Healthcare Provider Details

I. General information

NPI: 1508792359
Provider Name (Legal Business Name): HUANG YAOHAO MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 S GARFIELD AVE STE B
MONTEREY PARK CA
91754-2906
US

IV. Provider business mailing address

240 S GARFIELD AVE STE B
MONTEREY PARK CA
91754-2906
US

V. Phone/Fax

Practice location:
  • Phone: 626-569-0168
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: XIWEN HUANG
Title or Position: OWNER
Credential:
Phone: 626-569-0168