Healthcare Provider Details

I. General information

NPI: 1639725310
Provider Name (Legal Business Name): DIANLIANG HUANG ACUPUNCTURIST
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2019
Last Update Date: 08/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 10TH ST STE 108
OAKLAND CA
94607-4271
US

IV. Provider business mailing address

320 10TH ST STE 108
OAKLAND CA
94607-4271
US

V. Phone/Fax

Practice location:
  • Phone: 510-585-5937
  • Fax:
Mailing address:
  • Phone: 510-585-5937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: