Healthcare Provider Details

I. General information

NPI: 1063700326
Provider Name (Legal Business Name): URSULA MING YI HUANG LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2011
Last Update Date: 09/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9353 VALLEY BLVD STE C
ROSEMEAD CA
91770-1934
US

IV. Provider business mailing address

9353 VALLEY BLVD STE C
ROSEMEAD CA
91770-1934
US

V. Phone/Fax

Practice location:
  • Phone: 626-287-2988
  • Fax:
Mailing address:
  • Phone: 626-287-2988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT108602
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: