Healthcare Provider Details

I. General information

NPI: 1083916878
Provider Name (Legal Business Name): YING HUANG DOCTOR OF CHIROPRACTIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2010
Last Update Date: 02/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8632 VALLEY BLVD STE H
ROSEMEAD CA
91770-1740
US

IV. Provider business mailing address

8632 E. VALLEY BLVD, STE H
ROSEMEAD CA
91770
US

V. Phone/Fax

Practice location:
  • Phone: 626-572-5388
  • Fax: 626-573-5386
Mailing address:
  • Phone: 626-572-5388
  • Fax: 626-573-5386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License NumberDC 23280
License Number StateCA

VIII. Authorized Official

Name: MS. YING HUANG
Title or Position: PRESIDENT
Credential: D.C.
Phone: 626-572-5388