Healthcare Provider Details

I. General information

NPI: 1346054350
Provider Name (Legal Business Name): HSIN CHENG HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 02/03/2025
Certification Date: 02/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 PALMETTO AVE STE B
PACIFICA CA
94044-2272
US

IV. Provider business mailing address

1268 SOUTHGATE AVE
DALY CITY CA
94015-3924
US

V. Phone/Fax

Practice location:
  • Phone: 650-808-7784
  • Fax:
Mailing address:
  • Phone: 650-740-8875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC20209
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: